Yvonne Roberta Wood-Antonuccio, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY116 Issued in NV

Practice address

3732 Lakeside Dr
Ste. 200
Reno, NV 89509-5238

Phone

(775) 329-3393

Fax

(775) 827-4799

NPI assigned

Sep 20, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Yvonne Wood Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226275200000",
    "number": "1043317480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4730 ABERFELDY RD",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895190943",
            "telephone_number": "775-329-3393",
            "fax_number": "775-827-6233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3732 LAKESIDE DR",
            "address_2": "STE. 200",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895095238",
            "telephone_number": "775-329-3393",
            "fax_number": "775-827-4799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD-ANTONUCCIO",
        "first_name": "YVONNE",
        "middle_name": "ROBERTA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2008-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NV",
            "license": "PY116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YVONNE",
            "last_name": "WOOD",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Amanda Wong
• Arvy Wong
• Daniel Garrett Wong, MD
• Jason Kuan Kit Wong, DO
• Ryan Wong, PA-C
• Cassandra Lachelle Wood, NON
• Cherylyn Wood
• Debra Wood Jr.
• Elizabeth Wood
• Holly Wood

• Clinical Psychologist in Reno, NV
• Providers in Reno, NV by specialty
• Clinical Psychologist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2008; 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.