Individual provider Active NPI

Buck Woo, PHD

  • Clinical Neuropsychologist
  • Boston, MA
National Provider Identifier
1083710735
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
MA4951 Issued in MA
Practice address
715 Albany St
F BLDG, Rehab Med
Boston, MA 02118-2526
Phone
(617) 414-2000
Fax
(617) 414-1975
NPI assigned
Sep 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X MA4951 MA Primary

Addresses

Primary practice location

715 Albany St
F BLDG, Rehab Med
Boston, MA 02118-2526

Mailing address

715 Albany St
F BLDG, Rehab Med
Boston, MA 02118-2526
Phone (617) 414-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060303000106 MA Practitioner - Clinical Psychologist 0547276339 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

110 Haverhill Rd
Suite 501
Amesbury, MA 01913-2131
Phone (978) 420-1290

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
MA4951MAMDClinical Neuropsychologist
4951MAMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Buck H Woo PHD LLC CurrentSince Dec 1, 2017 Accepting new patients

Locations

110 Haverhill Rd
Ste 501
Amesbury, MA 01913
Phone (978) 420-1290

61 Pleasant St
Unit 841
Newburyport, MA 01950

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083710735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 ALBANY ST",
            "address_2": "F BLDG, REHAB MED",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182526",
            "telephone_number": "617-414-2000",
            "fax_number": "617-414-1975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 ALBANY ST",
            "address_2": "F BLDG, REHAB MED",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182526",
            "telephone_number": "617-414-2000",
            "fax_number": "617-414-1975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOO",
        "first_name": "BUCK",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "MA",
            "license": "MA4951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.