Active NPI
Christina Nicole Wood, PHD
- Clinical Psychologist
- Philadelphia, PA
National Provider Identifier
1124770151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS020790
- Practice address
- 1700 S Broad St Apt 301
Philadelphia, PA 19145-2340 - Phone
- (215) 467-5870
- NPI assigned
- Jan 20, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PS020790 | PA | Primary |
Addresses
Primary practice location
1700 S Broad St Apt 301
Philadelphia, PA 19145-2340
Mailing address
7 M St NE Apt 1129
Washington, DC 20002-9022
Other practice location 1
5003 Umbria St
Philadelphia, PA 19128-4369
Phone (215) 483-3444
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Education
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783555200000",
"number": "1124770151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 M ST NE APT 1129",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200029022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 S BROAD ST APT 301",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191452340",
"telephone_number": "215-467-5870"
}
],
"practiceLocations": [
{
"address_1": "5003 Umbria St",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191284369",
"country_code": "US",
"telephone_number": "215-483-3444",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WOOD",
"first_name": "CHRISTINA",
"middle_name": "NICOLE",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-20",
"last_updated": "2026-07-09",
"certification_date": "2026-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PA",
"license": "PS020790",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.