Vance T. Wood, PSYD, PC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3014 Issued in GA

Legal business name

VANCE T. WOOD, PSYD, PC

Practice address

462 Memory LN
Suite 110
Dawsonville, GA 30534-4314

Phone

(706) 265-1357

Fax

(706) 265-1406

NPI assigned

Feb 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Vance T Wood, PSYDNPI 1689908873

Title

President-Psychologist

Phone

(706) 265-1357

Specialties & licenses 1

Addresses

Other names 1

• Positive Solutions For Life Doing business as

Locations

Practitioners 1

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

• Vance T Wood, PSYD

  • Clinical Psychologist
  • Dawsonville, GA
  • NPI 1689908873
  NPD (past) Authorized official

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124167952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "462 MEMORY LN",
            "address_2": "SUITE 110",
            "city": "DAWSONVILLE",
            "state": "GA",
            "postal_code": "305344314",
            "telephone_number": "706-265-1357",
            "fax_number": "706-265-1406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "462 MEMORY LN",
            "address_2": "SUITE 110",
            "city": "DAWSONVILLE",
            "state": "GA",
            "postal_code": "305344314",
            "telephone_number": "706-265-1357",
            "fax_number": "706-265-1406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANCE T. WOOD, PSYD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "VANCE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT-PSYCHOLOGIST",
        "authorized_official_telephone_number": "706-265-1357",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "3014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Positive Solutions For Life",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Psychologist in Dawsonville, GA
• Providers in Dawsonville, GA by specialty
• Clinical Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.