Individual provider Active NPI

Martha Woodard, PSY.D.

  • Psychologist
  • Wilbraham, MA
National Provider Identifier
1215014063
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6995 Issued in MA
Practice address
35 Post Office Park
Suite 3504
Wilbraham, MA 01095-1172
Phone
(413) 596-6922
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6995 MA Primary

Addresses

Primary practice location

35 Post Office Park
Suite 3504
Wilbraham, MA 01095-1172

Mailing address

35 Post Office Park
Suite 3504
Wilbraham, MA 01095-1172
Phone (413) 596-6922

Other identifiers 4

IdentifierTypeStateIssuer
W05842OtherMABLUE CROSS/BLUE SHIELD
24588OtherMAHEALTH NEW ENGLAND
093488OtherMAVALUE OPTIONS
3081091OtherMACIGNA BEHAVIORAL HEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070530000097 MA Practitioner - Clinical Psychologist 8325145287 Practice locations: Wilbraham, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

35 Post Office Park
Wilbraham, MA 01095-1186
Phone (413) 596-6922

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6995MAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care Counseling Associates, Ins. Psychologist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215014063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 POST OFFICE PARK",
            "address_2": "SUITE 3504",
            "city": "WILBRAHAM",
            "state": "MA",
            "postal_code": "010951172",
            "telephone_number": "413-596-6922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 POST OFFICE PARK",
            "address_2": "SUITE 3504",
            "city": "WILBRAHAM",
            "state": "MA",
            "postal_code": "010951172",
            "telephone_number": "413-596-6922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODARD",
        "first_name": "MARTHA",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "6995",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "W05842",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NEW ENGLAND",
            "identifier": "24588",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "093488",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA BEHAVIORAL HEALTH",
            "identifier": "3081091",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilbraham, MA

Sources for this page

Verify at the official NPI Registry.