Individual provider Active NPI

Buffy T. Wooten, PH.D.

  • Clinical Psychologist
  • Phoenix, AZ
National Provider Identifier
1295727964
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3308 Issued in AZ
Practice address
810 N 6TH Ave
Phoenix, AZ 85003-1318
Phone
(602) 462-1116
Fax
(602) 462-1119
NPI assigned
Aug 18, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 3308 AZ Primary

Addresses

Primary practice location

810 N 6TH Ave
Phoenix, AZ 85003-1318

Mailing address

810 N 6TH Ave
Phoenix, AZ 85003-1318
Phone (602) 462-1116

Other practice location 1

3864 N 27th Ave
Phoenix, AZ 85017-4703
Phone (602) 685-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
3308AZMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Zion Institute Past Accepting new patients
National Council on Alcoholism Greater Phoenix Area 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784160000000",
    "number": "1295727964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 N 6TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850031318",
            "telephone_number": "602-462-1116",
            "fax_number": "602-462-1119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 N 6TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850031318",
            "telephone_number": "602-462-1116",
            "fax_number": "602-462-1119"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3864 N 27th Ave",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850174703",
            "country_code": "US",
            "telephone_number": "602-685-6000",
            "fax_number": "602-212-6250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOOTEN",
        "first_name": "BUFFY",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-18",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "3308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.