Renee a Woodall PHD Professional LLC

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

Legal business name

RENEE A WOODALL PHD PROFESSIONAL LLC

Practice address

2629 Redwing Rd Ste 316
Fort Collins, CO 80526-2879

Phone

(970) 556-5836

Fax

(970) 837-3352

NPI assigned

Jan 29, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Renee Andrade Woodall, PH.D.

Title

Owner and Licensed Psychologist

Phone

(970) 556-5836

Specialties & licenses 4

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Veronica Chulata-Castinado

  • Professional Counselor
  • Laporte, CO
  • NPI 1598123473
  NPD

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

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    "created_epoch": "1233187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678665600000",
    "number": "1407094469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2629 REDWING RD STE 316",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805262879",
            "telephone_number": "970-556-5836",
            "fax_number": "970-837-3352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2629 REDWING RD STE 316",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805262879",
            "telephone_number": "970-556-5836",
            "fax_number": "970-837-3352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEE A WOODALL PHD PROFESSIONAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-29",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A",
        "authorized_official_last_name": "WOODALL",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "ANDRADE",
        "authorized_official_title_or_position": "OWNER AND LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "970-556-5836",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TA0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Adult Development & Aging",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Dale Rellas, MD
• Santana Remalia
• Remote Health Access Inc
• Gary Rempe, PHD
• Earl Rendon
• Hartmut C. Renger, M.D.
• Emaleigh Phelps Renier
• Renley LLC
• Brianne Renley, LPCC, CAC II
• Nathan Renley, M.S., CCC-SLP

• Counseling Psychologist in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Counseling Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.