Individual provider Active NPI

Bridget Kathleen Wood, M.S CCC-SLP

  • Speech-Language Pathologist
  • Chicago, IL
National Provider Identifier
1205955192
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146007986 Issued in IL
Practice address
9358 S Bell Ave
Chicago, IL 60643-6711
Phone
(773) 412-2445
Fax
(312) 842-1215
NPI assigned
Mar 29, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 146007986 IL Primary

Addresses

Primary practice location

9358 S Bell Ave
Chicago, IL 60643-6711

Mailing address

9358 S Bell Ave
Chicago, IL 60643-6711
Phone (773) 412-2445

Other practice location 1

1808 S Michigan Ave Apt 2
Chicago, IL 60616-1723
Phone (312) 842-1215

Other practice location 2

1808 S Michigan Ave Apt 2
Chicago, IL 60616-1723
Phone (312) 842-1215

Other names 1

  • Ms. Bridget K Harrigan Former name

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 Science

State licenses

LicenseStateTypeSpecialty
146007986ILMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1205955192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9358 S BELL AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606436711",
            "telephone_number": "773-412-2445",
            "fax_number": "312-842-1215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9358 S BELL AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606436711",
            "telephone_number": "773-412-2445",
            "fax_number": "312-842-1215"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1808 S Michigan Ave Apt 2",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606161723",
            "country_code": "US",
            "telephone_number": "312-842-1215",
            "fax_number": "312-842-1215",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1808 S Michigan Ave Apt 2",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606161723",
            "country_code": "US",
            "telephone_number": "312-842-1215",
            "fax_number": "312-842-1215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOOD",
        "first_name": "BRIDGET",
        "middle_name": "KATHLEEN",
        "name_prefix": "Mrs.",
        "credential": "M.S CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146007986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIDGET",
            "last_name": "HARRIGAN",
            "middle_name": "K",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.