Active NPI
Jennifer Sheader Wood, PH.D.
- Psychologist
- Owasso, OK
National Provider Identifier
1043454903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1060
- Practice address
- 12906 E 106TH St N
Owasso, OK 74055-5909 - Phone
- (918) 376-4552
- Fax
- (918) 376-4586
- NPI assigned
- Apr 22, 2009
- Last updated
- Apr 30, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 1060 | OK | Primary |
Addresses
Primary practice location
12906 E 106TH St N
Owasso, OK 74055-5909
Mailing address
12906 E 106TH St N
Owasso, OK 74055-5909
Phone (918) 376-4552
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
12906 E 106TH St N
Owasso, OK 74055-5909
Phone (918) 376-4552
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Leaf Institute PLLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba A Healing Connection Psychological Services PLLC
- Psychologist
- Owasso, OK
- NPI 1780172320
-
- Health Service Psychologist
- Owasso, OK
- NPI 1295130508
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525046400000",
"number": "1043454903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12906 E 106TH ST N",
"city": "OWASSO",
"state": "OK",
"postal_code": "740555909",
"telephone_number": "918-376-4552",
"fax_number": "918-376-4586"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12906 E 106TH ST N",
"city": "OWASSO",
"state": "OK",
"postal_code": "740555909",
"telephone_number": "918-376-4552",
"fax_number": "918-376-4586"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOD",
"first_name": "JENNIFER",
"middle_name": "SHEADER",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-04-22",
"last_updated": "2018-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OK",
"license": "1060",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Owasso, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.