Organization Active NPI

Wood Neuropsychology Associates LLC

  • Clinical Neuropsychologist
  • Rolling Meadows, IL
National Provider Identifier
1033517412
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
071005574 Issued in IL
Legal business name
WOOD NEUROPSYCHOLOGY ASSOCIATES LLC
Practice address
1600 Golf Rd Ste 1200
Rolling Meadows, IL 60008-4229
Phone
(847) 636-8704
Fax
(847) 692-2993
NPI assigned
Dec 16, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Katherine C Wood, PH.D.
Title
President
Phone
(847) 636-8704

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103G00000X 071005574 IL Primary

Addresses

Primary practice location

1600 Golf Rd Ste 1200
Rolling Meadows, IL 60008-4229

Mailing address

806 Courtland Ave
Park Ridge, IL 60068-4834
Phone (847) 636-8704

Other practice location 1

637 E Golf Rd
Suite 201
Arlington Heights, IL 60005-4967
Phone (847) 636-8704

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1418688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1033517412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 COURTLAND AVE",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600684834",
            "telephone_number": "847-636-8704",
            "fax_number": "847-692-2993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 GOLF RD STE 1200",
            "city": "ROLLING MEADOWS",
            "state": "IL",
            "postal_code": "600084229",
            "telephone_number": "847-636-8704",
            "fax_number": "847-692-2993"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "637 E Golf Rd",
            "address_2": "Suite 201",
            "address_purpose": "LOCATION",
            "city": "Arlington Heights",
            "state": "IL",
            "postal_code": "600054967",
            "country_code": "US",
            "telephone_number": "847-636-8704",
            "fax_number": "847-692-2993",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WOOD NEUROPSYCHOLOGY ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-16",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-636-8704",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "IL",
            "license": "071005574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rolling Meadows, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.