Active NPI
Jacqueline Lee Wood, MD
- Neurology with Special Qualifications in Child Neurology Physician
- New Haven, CT
National Provider Identifier
1013544659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology with Special Qualifications in Child Neurology Physician
- License
- 84184
- Practice address
- 20 York St
New Haven, CT 06510-3220 - Phone
- (203) 688-4242
- NPI assigned
- Mar 24, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | 84184 | CT | Primary |
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | 76379 | AZ |
Addresses
Primary practice location
20 York St
New Haven, CT 06510-3220
Mailing address
333 Cedar St
New Haven, CT 06510-3206
Other practice location 1
267 Grant St
Bridgeport, CT 06610-2870
Phone (203) 384-3190
Other practice location 2
747 Belden Ave
Norwalk, CT 06850-3348
Phone (203) 750-1999
Other practice location 3
365 Montauk Ave
New London, CT 06320-4700
Phone (860) 442-0711
Other practice location 4
5 Perryridge Rd
Greenwich, CT 06830-4608
Phone (203) 863-3000
Other practice location 5
5520 Park Ave
Trumbull, CT 06611-3463
Phone (203) 337-8600
Other practice location 6
3 Shaws Cv
New London, CT 06320-4952
Phone (203) 785-4081
Other practice location 7
267 Grant St
Bridgeport, CT 06610-2870
Phone (203) 384-3000
Other practice location 8
633 Middlesex Tpke
Old Saybrook, CT 06475-1220
Phone (860) 388-8300
Other practice location 9
1 Long Wharf Dr
New Haven, CT 06511-5991
Phone (203) 688-7888
Other practice location 10
500 W Putnam Ave
Greenwich, CT 06830-6086
Phone (475) 240-8000
Other practice location 11
5 Perryridge Rd
Greenwich, CT 06830-4608
Phone (203) 863-3000
Other practice location 12
365 Montauk Ave
New London, CT 06320-4700
Phone (860) 442-0711
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4954 | MD | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786665600000",
"number": "1013544659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 CEDAR ST",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065103206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 YORK ST",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065103220",
"telephone_number": "203-688-4242"
}
],
"practiceLocations": [
{
"address_1": "267 Grant St",
"address_purpose": "LOCATION",
"city": "Bridgeport",
"state": "CT",
"postal_code": "066102870",
"country_code": "US",
"telephone_number": "203-384-3190",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "747 Belden Ave",
"address_purpose": "LOCATION",
"city": "Norwalk",
"state": "CT",
"postal_code": "068503348",
"country_code": "US",
"telephone_number": "203-750-1999",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "365 Montauk Ave",
"address_purpose": "LOCATION",
"city": "New London",
"state": "CT",
"postal_code": "063204700",
"country_code": "US",
"telephone_number": "860-442-0711",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5 Perryridge Rd",
"address_purpose": "LOCATION",
"city": "Greenwich",
"state": "CT",
"postal_code": "068304608",
"country_code": "US",
"telephone_number": "203-863-3000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5520 Park Ave",
"address_purpose": "LOCATION",
"city": "Trumbull",
"state": "CT",
"postal_code": "066113463",
"country_code": "US",
"telephone_number": "203-337-8600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3 Shaws Cv",
"address_purpose": "LOCATION",
"city": "New London",
"state": "CT",
"postal_code": "063204952",
"country_code": "US",
"telephone_number": "203-785-4081",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "267 Grant St",
"address_purpose": "LOCATION",
"city": "Bridgeport",
"state": "CT",
"postal_code": "066102870",
"country_code": "US",
"telephone_number": "203-384-3000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "633 Middlesex Tpke",
"address_purpose": "LOCATION",
"city": "Old Saybrook",
"state": "CT",
"postal_code": "064751220",
"country_code": "US",
"telephone_number": "860-388-8300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Long Wharf Dr",
"address_purpose": "LOCATION",
"city": "New Haven",
"state": "CT",
"postal_code": "065115991",
"country_code": "US",
"telephone_number": "203-688-7888",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "500 W Putnam Ave",
"address_purpose": "LOCATION",
"city": "Greenwich",
"state": "CT",
"postal_code": "068306086",
"country_code": "US",
"telephone_number": "475-240-8000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5 Perryridge Rd",
"address_purpose": "LOCATION",
"city": "Greenwich",
"state": "CT",
"postal_code": "068304608",
"country_code": "US",
"telephone_number": "203-863-3000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "365 Montauk Ave",
"address_purpose": "LOCATION",
"city": "New London",
"state": "CT",
"postal_code": "063204700",
"country_code": "US",
"telephone_number": "860-442-0711",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WOOD",
"first_name": "JACQUELINE",
"middle_name": "LEE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-24",
"last_updated": "2026-08-14",
"certification_date": "2026-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0402X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": "CT",
"license": "84184",
"primary": true
},
{
"code": "2084N0402X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": "AZ",
"license": "76379",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.