DR. STACY L WRIGHT (PSY.D., H.S.P.P.) – Clinical Psychologist, NPI 1508817917
Clinical Psychologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
450 CLINICAL PSYCHOLOGIST in IN
Provider Addresses for DR. STACY L WRIGHT (PSY.D., H.S.P.P.)
5505 S COUNTY ROAD 475 E
SELMA, IN 473839678
Phone: (219) 714-7147
Fax: (219) 627-1887
Type: Location
East 109th Avenue, Crown Point, Lake County, Indiana, 46307, United States
SUITE 1B
CROWN POINT, IN 463077686
Phone: (219) 406-9423
Fax: (219) 627-1887
Type: Location
LabCorp, 9150, East 109th Avenue, Crown Point, Winfield Township, Lake County, Indiana, 46307, United States
SUITE 1B
CROWN POINT, IN 463077686
Phone: (219) 406-9423
Fax: (219) 627-1887
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2006-03-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20060329000748 | I | Clinical Psychologist | IN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 47383)
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