Organization Active NPI

Wooten & Associates, PLC

  • Clinical Psychologist
  • Phoenix, AZ
National Provider Identifier
1083853147
Registry record updated Feb 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3308 Issued in AZ
Legal business name
WOOTEN & ASSOCIATES, PLC
Practice address
810 N 6TH Ave
Phoenix, AZ 85003-1318
Phone
(602) 462-1116
Fax
(602) 462-1119
NPI assigned
Feb 13, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2009

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

Authorized official

Name
Dr. Buffy T Wooten, PH.D.
Title
Managing Member
Phone
(602) 462-1116

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 3308 AZ Primary

Addresses

Primary practice location

810 N 6TH Ave
Phoenix, AZ 85003-1318

Mailing address

810 N 6TH Ave
Phoenix, AZ 85003-1318
Phone (602) 462-1116

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1234483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234483200000",
    "number": "1083853147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 N 6TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850031318",
            "telephone_number": "602-462-1116",
            "fax_number": "602-462-1119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 N 6TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850031318",
            "telephone_number": "602-462-1116",
            "fax_number": "602-462-1119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOOTEN & ASSOCIATES, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-13",
        "last_updated": "2009-02-13",
        "status": "A",
        "authorized_official_last_name": "WOOTEN",
        "authorized_official_first_name": "BUFFY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "602-462-1116",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "3308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2009; 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.