Organization Active NPI

David J Wood MD Frcpc,PC

  • Child & Adolescent Psychiatry Physician
  • Springfield, VA
National Provider Identifier
1235382771
Registry record updated Oct 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
0101038559 Issued in VA
Legal business name
DAVID J WOOD MD FRCPC,PC
Practice address
6551 Loisdale CT
Suite 155
Springfield, VA 22150-1828
Phone
(703) 921-0692
NPI assigned
Oct 28, 2008
Last updated
Oct 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2008

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

Authorized official

Name
Dr. David John Wood, MD
Title
President
Phone
(703) 921-0692

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0804X 0101038559 VA Primary

Addresses

Primary practice location

6551 Loisdale CT
Suite 155
Springfield, VA 22150-1828

Mailing address

6551 Loisdale CT
Suite 155
Springfield, VA 22150-1828
Phone (703) 921-0692

National Provider Directory

National Provider Directory

Locations

6800 Backlick Rd
Ste 202
Springfield, VA 22150
Phone (703) 921-0362

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225152000000",
    "number": "1235382771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6551 LOISDALE CT",
            "address_2": "SUITE 155",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221501828",
            "telephone_number": "703-921-0692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6551 LOISDALE CT",
            "address_2": "SUITE 155",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221501828",
            "telephone_number": "703-921-0692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID J WOOD MD FRCPC,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-28",
        "last_updated": "2008-10-28",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-921-0692",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "VA",
            "license": "0101038559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; 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.