Marie W. Wood PHD Inc

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

MARIE W. WOOD PHD INC

Practice address

215 N East Ave
Fayetteville, AR 72701-5296

Phone

(479) 521-9696

NPI assigned

May 12, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Terry Borman

Title

Billing Manager

Phone

(479) 236-3221

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marie Wiseman Wood, PH.D.

  • Clinical Psychologist
  • Fayetteville, AR
  • NPI 1942257563
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1589241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589241600000",
    "number": "1003438086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4808",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727024808",
            "telephone_number": "479-236-3221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 N EAST AVE",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727015296",
            "telephone_number": "479-521-9696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIE W. WOOD PHD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-12",
        "last_updated": "2020-05-12",
        "certification_date": "2020-05-12",
        "status": "A",
        "authorized_official_last_name": "BORMAN",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "479-236-3221"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan David Mantooth, MD
• Crystal Marie Mapes, LPC
• Ana C Mar Leon
• Byron Michael Marciniak, DO
• Dorothy Marcy
• Sylvia Marinus
• Mark E. Miller, M.D., PA
• Matthew H Marks, MD
• Stephanie Lyn Marlatt, BSW
• John Joseph Marrufo

• Psychologist in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Psychologist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.