Active NPI
Catherine Mewborn Wood, PHD
- Clinical Neuropsychologist
- Charleston, SC
National Provider Identifier
1346876240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 1929
- Practice address
- 29 Leinbach Dr Ste D4
Charleston, SC 29407-7086 - Phone
- (843) 212-6801
- Fax
- (877) 860-2868
- NPI assigned
- Mar 23, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 1929 | SC | Primary |
| Clinical Psychologist | 103TC0700X | 1929 | SC |
Addresses
Primary practice location
29 Leinbach Dr Ste D4
Charleston, SC 29407-7086
Mailing address
6650 Rivers Ave Ste 100
North Charleston, SC 29406-4809
Phone (843) 212-6801
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 24898 | Other | SC | PSYPACT APIT |
Other names 1
- Dr. Catherine Mattocks Mewborn
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1309 Basketweaver Way
Hanahan, SC 29410-4758
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3712 | TN | MD | Clinical Neuropsychologist |
| 1929 | SC | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catherine Wood PHD LLC | Clinical Neuropsychologist | Current | Accepting new patients |
Locations
29 Leinbach Dr
Ste D4
Charleston, SC 29407
Phone (843) 212-6801
6650 Rivers Ave
Ste 100
North Charleston, SC 29406
Phone (407) 469-5088
Organizations & group practices 1
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.
-
- Clinical Neuropsychologist
- Charleston, SC
- NPI 1114860558
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783382400000",
"number": "1346876240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6650 RIVERS AVE STE 100",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294064809",
"telephone_number": "843-212-6801",
"fax_number": "877-860-2686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29 LEINBACH DR STE D4",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294077086",
"telephone_number": "843-212-6801",
"fax_number": "877-860-2868"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOD",
"first_name": "CATHERINE",
"middle_name": "MEWBORN",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-23",
"last_updated": "2026-07-07",
"certification_date": "2026-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "SC",
"license": "1929",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "SC",
"license": "1929",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PSYPACT APIT",
"identifier": "24898",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CATHERINE",
"last_name": "MEWBORN",
"middle_name": "MATTOCKS",
"prefix": "DR.",
"credential": "PH.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.