Woolverton Institute for Psychotherapy

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

04-19P Issued in AR

Legal business name

WOOLVERTON INSTITUTE FOR PSYCHOTHERAPY

Doing business as

The Village Institute

Practice address

21 W Mountain St
Suite 300
Fayetteville, AR 72701-6086

Phone

(479) 442-4080

Fax

(212) 253-4136

NPI assigned

Nov 3, 2011

Last updated

Nov 3, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Frederick Woolverton, PH.D.NPI 1821344151

Title

Director

Phone

(479) 442-4080

Specialties & licenses 1

Addresses

Other names 1

• The Village Institute 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, and the practitioner matching its NPPES authorized official.

• Frederick Woolverton, PH.D.

  • Clinical Psychologist
  • Fayetteville, AR
  • NPI 1821344151
  NPD (past) Authorized official

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

{
    "created_epoch": "1320278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320278400000",
    "number": "1205113222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 W MOUNTAIN ST",
            "address_2": "SUITE 300",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727016086",
            "telephone_number": "479-442-4080",
            "fax_number": "212-253-4136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 W MOUNTAIN ST",
            "address_2": "SUITE 300",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727016086",
            "telephone_number": "479-442-4080",
            "fax_number": "212-253-4136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOOLVERTON INSTITUTE FOR PSYCHOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-03",
        "last_updated": "2011-11-03",
        "status": "A",
        "authorized_official_last_name": "WOOLVERTON",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "479-442-4080",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "AR",
            "license": "04-19P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Village Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gillian G Woods, PH.D.
• Madison Ashlee Woods
• Mitchell Woods, DO
• Richard Alex Woods, DC
• Erin Michelle Woodward, PT
• Frederick Woolverton, PH.D.
• Edward Wrenn Wooten, MD
• Linda L Worley, MD
• Paige Worthington
• Sydney Caroline Woychesin

• Case Management Agency in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Case Management Agency in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2011; 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.