Darci Shook-Woolley, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

2451-057 Issued in WI

Practice address

W175N11163 Stonewood Dr
Suite 221
Germantown, WI 53022-6503

Phone

(262) 257-0500

Fax

(262) 257-0602

NPI assigned

Feb 2, 2007

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438905600000",
    "number": "1043358708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W175N11163 STONEWOOD DR",
            "address_2": "SUITE 221",
            "city": "GERMANTOWN",
            "state": "WI",
            "postal_code": "530226500",
            "telephone_number": "262-257-0500",
            "fax_number": "262-257-0602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W175N11163 STONEWOOD DR",
            "address_2": "SUITE 221",
            "city": "GERMANTOWN",
            "state": "WI",
            "postal_code": "530226503",
            "telephone_number": "262-257-0500",
            "fax_number": "262-257-0602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOOK-WOOLLEY",
        "first_name": "DARCI",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-02",
        "last_updated": "2015-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WI",
            "license": "2451-057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43568200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Germantown, WI
• Providers in Germantown, WI by specialty
• Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2015; 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.