Active NPI
Linda O Woodall MD
- Psychiatry Physician
- Pasadena, CA
National Provider Identifier
1083376016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- LINDA O WOODALL MD
- Practice address
- 200 E del Mar Blvd Ste 122
Pasadena, CA 91105-2551 - Phone
- (626) 235-0016
- NPI assigned
- Oct 7, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Linida O Woodall, MD
- Title
- MD
- Phone
- (626) 235-0016
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary | ||
| Child & Adolescent Psychiatry Physician | 2084P0804X |
Addresses
Primary practice location
200 E del Mar Blvd Ste 122
Pasadena, CA 91105-2551
Mailing address
200 E del Mar Blvd Ste 122
Pasadena, CA 91105-2551
Phone (626) 235-0016
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633564800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1633564800000",
"number": "1083376016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 E DEL MAR BLVD STE 122",
"city": "PASADENA",
"state": "CA",
"postal_code": "911052551",
"telephone_number": "626-235-0016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 E DEL MAR BLVD STE 122",
"city": "PASADENA",
"state": "CA",
"postal_code": "911052551",
"telephone_number": "626-235-0016"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LINDA O WOODALL MD",
"organizational_subpart": "NO",
"enumeration_date": "2021-10-07",
"last_updated": "2021-10-07",
"certification_date": "2021-10-07",
"status": "A",
"authorized_official_last_name": "WOODALL",
"authorized_official_first_name": "LINIDA",
"authorized_official_middle_name": "O",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "626-235-0016",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
},
{
"code": "2084P0804X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.