Active NPI
Woody Cal Childress, PH.D.
- School Psychologist
- Fort Worth, TX
National Provider Identifier
1013064534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 6637
- Practice address
- 5658 Westcreek Dr Ste 400
Fort Worth, TX 76133-2254 - Phone
- (817) 731-2468
- NPI assigned
- Jan 5, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 2-3301 | TX | |
| School Psychologist | 103TS0200X | 6637 | TX | Primary |
Addresses
Primary practice location
5658 Westcreek Dr Ste 400
Fort Worth, TX 76133-2254
Mailing address
1400 Aden Rd
Fort Worth, TX 76116-1959
Phone (817) 731-2468
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P000D92R2 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6637 | TX | MD | Addiction (Substance Use Disorder) Counselor |
| 2-3301 | TX | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1013064534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 ADEN RD",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761161959",
"telephone_number": "817-731-2468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5658 WESTCREEK DR STE 400",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761332254",
"telephone_number": "817-731-2468"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHILDRESS",
"first_name": "WOODY",
"middle_name": "CAL",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-05",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TX",
"license": "2-3301",
"primary": false
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "TX",
"license": "6637",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "P000D92R2",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Worth, TX
- Children & Family Services
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- Children'S Haven Counseling Services
- Childrens Feeding Therapy, PLLC
- Carly Anne Childs, CPNP
- Christopher Michael Childs, D.O.
- Richard Marshall Childs, CRNA
- Tilden Lafayette Childs III, MD
- Stephanie Chilton, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.