Organization Active NPI

Catherine Wood PHD LLC

  • Clinical Neuropsychologist
  • Charleston, SC
National Provider Identifier
1114860558
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
Legal business name
CATHERINE WOOD PHD LLC
Practice address
29 Leinbach Dr Ste D4
Charleston, SC 29407-7086
Phone
(843) 212-6801
Fax
(877) 860-2868
NPI assigned
Apr 10, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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

Authorized official

Name
Dr. Catherine Mewborn Wood, PH.D.NPI 1346876240
Title
Owner / Managing Member
Phone
(843) 212-6801

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103G00000X Primary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X

Addresses

Primary practice location

29 Leinbach Dr Ste D4
Charleston, SC 29407-7086

Mailing address

6650 Rivers Ave Ste 100
North Charleston, SC 29406-4809
Phone (843) 212-6801

Other identifiers 1

IdentifierTypeStateIssuer
24898OtherSCPSYPACT APIT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260423000035 SC Part B Supplier - Clinic/Group Practice 2769959162 Receives reassigned benefits from 1 practitioner
Practice locations: Charleston, SC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1775779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783382400000",
    "number": "1114860558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6650 RIVERS AVE STE 100",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294064809",
            "telephone_number": "843-212-6801",
            "fax_number": "877-860-2686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 LEINBACH DR STE D4",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294077086",
            "telephone_number": "843-212-6801",
            "fax_number": "877-860-2868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHERINE WOOD PHD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-10",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "MEWBORN",
        "authorized_official_title_or_position": "OWNER / MANAGING MEMBER",
        "authorized_official_telephone_number": "843-212-6801",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYPACT APIT",
            "identifier": "24898",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.