DR. MIMI H. WRIGHT (PH.D., LP, LSSP) – Health Service Psychologist, NPI 1114221611

DR. MIMI H. WRIGHT (PH.D., LP, LSSP) is a healthcare provider. based in Cranfills gap, Texas. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D., LP, LSSP. They hold a License No. 25128 (TX). The NPI Number for DR. MIMI H. WRIGHT (PH.D., LP, LSSP) is 1114221611

Main info

Female
33 Years Of Experience
Accepts Medicare Assignment
Name
DR. MIMI H. WRIGHT (PH.D., LP, LSSP)
NPI
1114221611
Phone
(254) 253-0460
Address
2100 COUNTY ROAD 4145
Enumeration Date
27 December 2010
Last Update Date
31 May 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2546758621
Graduation Year
1993 (33 years ago)
PAC ID
1355606716
Group Practice PAC ID
4587997754
Professional Enrollment ID
I20180606000383
Address ID
TX766341200CL201XXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:15State licenses:1Digital endpointsOther names

1,347 CLINICAL PSYCHOLOGIST in TX

Provider Addresses for DR. MIMI H. WRIGHT (PH.D., LP, LSSP)

  • 2100 COUNTY ROAD 4145

    CRANFILLS GAP, TX 766374550

    Phone: (254) 253-0460

    Type: Location

  • 201 POSEY AVE

    CLIFTON, TX 766341200

    Phone: (254) 675-8621

    Fax: (254) 675-2254

    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: 2018-06-06

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
I20180606000383IClinical PsychologistTXTBD

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 76637)

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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: 4587997754View full group profile
NameSpecialtyState
Nurse PractitionerTX
Clinical Social WorkerTX
Certified Registered Nurse Anesthetist (Crna)TX
Nurse PractitionerTX
P O D I A T R YTX
P S Y C H I A T R YTX
-TX
Family PracticeTX
Internal MedicineTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

What identifier follows DR. MIMI H. WRIGHT (PH.D., LP, LSSP) across health systems?
The NPI 1114221611 uniquely identifies DR. MIMI H. WRIGHT (PH.D., LP, LSSP) in U.S. healthcare data.
Quick check: is DR. MIMI H. WRIGHT (PH.D., LP, LSSP) active?
Public NPPES data shows DR. MIMI H. WRIGHT (PH.D., LP, LSSP) with an active NPI status right now.
What services align with DR. MIMI H. WRIGHT (PH.D., LP, LSSP)'s listing?
DR. MIMI H. WRIGHT (PH.D., LP, LSSP)'s public classification highlights Health Service Psychologist. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. MIMI H. WRIGHT (PH.D., LP, LSSP)?
DR. MIMI H. WRIGHT (PH.D., LP, LSSP) shows a connection to Cranfills Gap, Texas in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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