DOUG E WRIGHT (PHD) – Clinical Psychologist, NPI 1083766307

DOUG E WRIGHT (PHD) is a healthcare provider. based in Iola, Kansas. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. They hold a License No. LP714 (KS). The NPI Number for DOUG E WRIGHT (PHD) is 1083766307

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
DOUG E WRIGHT (PHD)
NPI
1083766307
Phone
(620) 431-7890
Address
304 N JEFFERSON AVE
Enumeration Date
17 January 2007
Last Update Date
12 July 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6204317890
Graduation Year
2000 (26 years ago)
PAC ID
8729104575
Group Practice PAC ID
3870562879
Professional Enrollment ID
I20100929000693
Address ID
KS667202854CH1322XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

282 CLINICAL PSYCHOLOGIST in KS

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Provider Addresses for DOUG E WRIGHT (PHD)

  • Southeast Kansas Mental Health Center, 304, North Jefferson Avenue, Iola, Allen County, Kansas, 66749, United States

    IOLA, KS 667492327

    Phone: (620) 431-7890

    Fax: (620) 431-7927

    Type: Mailing

  • 402, South Kansas Avenue, Benedict's Addition, Chanute, Neosho County, Kansas, 66720, United States

    CHANUTE, KS 66720

    Phone: (620) 431-7890

    Fax: (620) 431-7927

    Type: Location

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.

This can happen when there are no reportable CMS Open Payments records.

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: 2010-09-29

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100929000693IClinical PsychologistKSTBD

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.

Verify on CMS Revalidation Lookup Tool

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 66749)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3870562879View full group profile
NameSpecialtyState
Certified Clinical Nurse Specialist (Cns)KS
Clinical PsychologistKS
Physician AssistantKS
Mental Health CounselorKS
Family PracticeKS
-KS
Clinical Social WorkerCA
Nurse PractitionerKS
Nurse PractitionerKS
Nurse PractitionerKS

Reviews

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Frequently asked questions

Is DOUG E WRIGHT (PHD) listed with a National Provider Identifier?
Yes — DOUG E WRIGHT (PHD) has NPI 1083766307 on file in the registry.
Is there an active status for DOUG E WRIGHT (PHD)?
For scheduling context, DOUG E WRIGHT (PHD) is shown as active in the registry.
What clinical focus is listed for DOUG E WRIGHT (PHD)?
At a glance, DOUG E WRIGHT (PHD) is tied to Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Is DOUG E WRIGHT (PHD) associated with Iola?
Public fields place DOUG E WRIGHT (PHD) around Iola, Kansas. Always confirm the exact site before visiting.
Can I trust this NPI listing for DOUG E WRIGHT (PHD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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