Active NPI
Christopher Woodman, PH.D.
- Clinical Psychologist
- Coral Springs, FL
National Provider Identifier
1215926217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY0004105
- Practice address
- 2901 Coral Hills Drive
Suite 340
Coral Springs, FL 33065-4042 - Phone
- (954) 752-2700
- Fax
- (954) 752-7745
- NPI assigned
- Oct 21, 2005
- Last updated
- Jul 8, 2007
- Sex
- Male
- 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 | PY0004105 | FL | Primary |
Addresses
Primary practice location
2901 Coral Hills Drive
Suite 340
Coral Springs, FL 33065-4042
Mailing address
12705 NW 18TH CT
Coral Springs, FL 33071-5408
Phone (954) 346-7741
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 73375 | Other | FL | BLUE CROSS BLUE SHIELD |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY0004105 | FL | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Broward Stress Management Counseling Center | Clinical | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Psychologist
- Coral Springs, FL
- NPI 1841345089
-
- Clinical Psychologist
- Coral Springs, FL
- NPI 1730217498
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1215926217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12705 NW 18TH CT",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330715408",
"telephone_number": "954-346-7741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2901 CORAL HILLS DRIVE",
"address_2": "SUITE 340",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330654042",
"telephone_number": "954-752-2700",
"fax_number": "954-752-7745"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODMAN",
"first_name": "CHRISTOPHER",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY0004105",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "73375",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Coral Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.