Michael Vance Wood, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

12873 Issued in CT

Practice address

836 Farmington Ave Ste 109
West Hartford, CT 06119-1544

Phone

(203) 691-1685

Fax

(203) 891-6763

NPI assigned

Mar 6, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Holistic Health and Healing Center LLCGroup PAC ID 1557774486, 6 clinicians

TMS Neurohealth PLLCGroup PAC ID 7719216548, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Holistic Health & Healing Center LLC

  • Clinical Social Worker
  • East Haven, CT
  • NPI 1659728012
  Medicare reassignment Care Compare group NPD
• TMS Neurohealth PLLC

  • Psychiatry Physician
  • East Haven, CT
  • NPI 1093282360
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1709683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1376301283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 DEEPWOOD DR",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060013155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "836 FARMINGTON AVE STE 109",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061191544",
            "telephone_number": "203-691-1685",
            "fax_number": "203-891-6763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "MICHAEL",
        "middle_name": "VANCE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-03-06",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "12873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Wizeman
• Lesley Wolk, PH.D.
• Jennifer M Wolpaw, PH.D.
• Women's Center for Psychotherapy,LLC
• Abigail Renee Wood, OT
• Emma Woodward, PA
• Richard Gary Woolfson, MD
• Maral Wozniak
• Marissa Marielle Wright, LCSW
• Maya Wanla Wroblewski

• Psychiatric/Mental Health Nurse Practitioner in West Hartford, CT
• Providers in West Hartford, CT by specialty
• Psychiatric/Mental Health Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2025; 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.

Verify at the official NPI Registry.