Bernadette Wood, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

22007875

Practice address

1595 S Calumet Rd Ste 3
Chesterton, IN 46304-2389

Phone

(219) 764-4888

Fax

(219) 898-4258

NPI assigned

Apr 22, 2021

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Wood SLP Services LLC

  • Speech-Language Pathologist
  • Evergreen Park, IL
  • NPI 1063094340
  NPD (past) Authorized official
• Jacob'S Ladder Pediatric Rehab Center

  • Speech-Language Pathologist
  • Chesterton, IN
  • NPI 1164251849
  NPD
• Jacob'S Ladder Pediatric Rehab Center

  • Physical Therapist
  • Chesterton, IN
  • NPI 1265519151

  Speech-Language Pathologist

  NPD

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

{
    "created_epoch": "1619049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670371200000",
    "number": "1194307868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10339 JUNIPER LN",
            "city": "SAINT JOHN",
            "state": "IN",
            "postal_code": "463730620",
            "telephone_number": "708-302-0247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1595 S CALUMET RD STE 3",
            "city": "CHESTERTON",
            "state": "IN",
            "postal_code": "463042389",
            "telephone_number": "219-764-4888",
            "fax_number": "219-898-4258"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10339 Juniper Ln",
            "address_purpose": "LOCATION",
            "city": "Saint John",
            "state": "IN",
            "postal_code": "463730620",
            "country_code": "US",
            "telephone_number": "708-302-0247",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOOD",
        "first_name": "BERNADETTE",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-22",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.006287",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": "22007875",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200196020A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cynthia Withrow, RPT
• Vivian R.C. Witter, LCSW
• Nichole Wolff, RBT
• John W.S. Wong, RPH.
• Patricia L Wong
• Sandra Lee Woodworth, DPT, CSCS
• Brittany Woolard, RBT
• Paula Wright, MT-BC
• Brandi Nicole York
• Z Psychology Services, P.C.

• Speech-Language Pathologist in Chesterton, IN
• Providers in Chesterton, IN by specialty
• Speech-Language Pathologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2022; 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.