Organization Active NPI

Wood'S Psychological Services, Inc

  • Psychologist
  • Smyrna, GA
National Provider Identifier
1083889307
Registry record updated Apr 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
WOOD'S PSYCHOLOGICAL SERVICES, INC
Practice address
1330 Concord Rd SE
Suite 205
Smyrna, GA 30080-4375
Phone
(770) 218-1416
NPI assigned
Apr 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2008

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

Authorized official

Name
Dr. Rebecca H Wood, PH.D.
Title
President
Phone
(770) 218-1416

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

1330 Concord Rd SE
Suite 205
Smyrna, GA 30080-4375

Mailing address

545 Picketts Bend Cir
Marietta, GA 30008-3269
Phone (770) 218-1416

Other identifiers 1

IdentifierTypeStateIssuer
00419163BMedicaidGA

National Provider Directory

National Provider Directory

Locations

1330 Concord Rd SE
Ste 205
Smyrna, GA 30080
Phone (770) 218-1416

NPI Registry JSON

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209340800000",
    "number": "1083889307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 PICKETTS BEND CIR",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300083269",
            "telephone_number": "770-218-1416",
            "fax_number": "770-428-9094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 CONCORD RD SE",
            "address_2": "SUITE 205",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300804375",
            "telephone_number": "770-218-1416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOOD'S PSYCHOLOGICAL SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-28",
        "last_updated": "2008-04-28",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-218-1416",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00419163B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2008; 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.