Organization Active NPI

Woods Psychological, Neuropsychological Services,P.C.

  • Clinical Psychologist
  • Hamburg, NY
National Provider Identifier
1053900894
Registry record updated Feb 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
WOODS PSYCHOLOGICAL, NEUROPSYCHOLOGICAL SERVICES,P.C.
Practice address
42 Lake St Ste 1
Hamburg, NY 14075-4937
Phone
(970) 688-0852
NPI assigned
Jan 15, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2021

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

Authorized official

Name
Mrs. Bonnie J Woods, PSYD
Title
Owner
Phone
(970) 688-0852

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103G00000X
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

42 Lake St Ste 1
Hamburg, NY 14075-4937

Mailing address

42 Lake St Ste 1
Hamburg, NY 14075-4937
Phone (970) 688-0852

National Provider Directory

National Provider Directory

Locations

42 Lake St
Ste 1
Hamburg, NY 14075
Phone (970) 688-0852

NPI Registry JSON

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

{
    "created_epoch": "1610668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613606400000",
    "number": "1053900894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 LAKE ST STE 1",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140754937",
            "telephone_number": "970-688-0852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 LAKE ST STE 1",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140754937",
            "telephone_number": "970-688-0852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODS PSYCHOLOGICAL, NEUROPSYCHOLOGICAL SERVICES,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-15",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A",
        "authorized_official_last_name": "WOODS",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-688-0852",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamburg, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2021; 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.