Active NPI
Mary Cagle Wood, LPA
- Psychologist
- Durham, NC
National Provider Identifier
1326199795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 2560
- Practice address
- 1106 W Cornwallis Rd
Durham, NC 27705-5748 - Phone
- (919) 417-0996
- NPI assigned
- Jan 14, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 2560 | NC | Primary |
Addresses
Primary practice location
1106 W Cornwallis Rd
Durham, NC 27705-5748
Mailing address
116 N Wake St
Hillsborough, NC 27278-2442
Phone (919) 417-0996
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6107397 | Medicaid | NC |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2560 | NC | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1326199795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 N WAKE ST",
"city": "HILLSBOROUGH",
"state": "NC",
"postal_code": "272782442",
"telephone_number": "919-417-0996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1106 W CORNWALLIS RD",
"city": "DURHAM",
"state": "NC",
"postal_code": "277055748",
"telephone_number": "919-417-0996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOD",
"first_name": "MARY",
"middle_name": "CAGLE",
"name_prefix": "Ms.",
"credential": "LPA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NC",
"license": "2560",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6107397",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Durham, 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.