The Woods Wellness Center, PLLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

THE WOODS WELLNESS CENTER, PLLC

Practice address

4043 Northwest Ave
Bellingham, WA 98226-9071

Phone

(360) 389-2003

NPI assigned

Aug 13, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Carlan Gordon, PSYDNPI 1528419785

Title

Owner / Psychologist

Phone

(360) 389-2003

Specialties & licenses 1

Addresses

Practitioners 1

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

• Carlan Gordon, PSYD

  • Clinical Psychologist
  • Bellingham, WA
  • NPI 1528419785
  NPD Authorized official

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

{
    "created_epoch": "1723507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723507200000",
    "number": "1073344685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 36TH ST # 805",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982256580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4043 NORTHWEST AVE",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982269071",
            "telephone_number": "360-389-2003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WOODS WELLNESS CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-13",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "CARLAN",
        "authorized_official_title_or_position": "OWNER / PSYCHOLOGIST",
        "authorized_official_telephone_number": "360-389-2003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Bellingham, WA
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• Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; 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.