Active NPI
John Jay Woodmansee, PHD
- Psychologist
- Winston Salem, NC
National Provider Identifier
1275561938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 191
- Practice address
- 3935 Thorndale Dr
Winston-Salem, NC 27106-3536 - Phone
- (336) 768-5992
- NPI assigned
- Jun 29, 2006
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 191 | NC | Primary |
Addresses
Primary practice location
3935 Thorndale Dr
Winston-Salem, NC 27106-3536
Mailing address
3935 Thorndale Dr
Winston-Salem, NC 27106-3536
Phone (336) 768-5992
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 191 | NC | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1275561938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3935 THORNDALE DR",
"city": "WINSTON-SALEM",
"state": "NC",
"postal_code": "271063536",
"telephone_number": "336-768-5992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3935 THORNDALE DR",
"city": "WINSTON-SALEM",
"state": "NC",
"postal_code": "271063536",
"telephone_number": "336-768-5992"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODMANSEE",
"first_name": "JOHN",
"middle_name": "JAY",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NC",
"license": "191",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winston Salem, NC
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.