Amanda Louise Wood, PH.D.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

PSY20304 Issued in CA

Practice address

27285 Las Ramblas Ste 140
Mission Viejo, CA 92691-8551

Phone

(949) 257-2251

NPI assigned

Jul 11, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1373500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516233600000",
    "number": "1114368792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29551 MONARCH DR",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926751423",
            "telephone_number": "949-362-0079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27285 LAS RAMBLAS STE 140",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926918551",
            "telephone_number": "949-257-2251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "AMANDA",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-11",
        "last_updated": "2018-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY20304",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "CA",
            "license": "PSY20304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura L Wong, PHARMD
• Melanie Lok-Yan Wong, FNP-C
• Randall Keith Wong, OD
• Steve Wong, MD
• Winston Yee-Choong Wong, PHARM.D.
• Sonja Wood, RN
• Michael C Woode
• Nicole Woods
• Woodway Healthcare, Inc.
• Deborah Ann Wooters, REGISTERED NURSE

• Counseling Psychologist in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• Counseling Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2018; 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.