NPIMap

Organization Active NPI

Woods Psychological Services LLC

  • Clinical Psychologist
  • Winona, MN
National Provider Identifier
1407490444
Registry record updated Sep 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
WOODS PSYCHOLOGICAL SERVICES LLC
Practice address
111 Riverfront Ste 410
Winona, MN 55987-3563
Phone
(507) 450-7104
NPI assigned
Nov 2, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2021

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

Authorized official

Name
Dr. Judith Ann Woods, PHD, LP, LPCC
Title
Ceo
Phone
(507) 450-7104

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

111 Riverfront Ste 410
Winona, MN 55987-3563

Mailing address

111 Riverfront Ste 410
Winona, MN 55987-3563
Phone (507) 450-7104

National Provider Directory

National Provider Directory

Locations

4800 Olson Memorial Hwy
Ste 202
Golden Valley, MN 55422
Phone (507) 474-6264

5353 Wayzata Blvd
Ste 607
St Louis Park, MN 55416

50 W 2nd St
Ste 101
Winona, MN 55987
Phone (507) 450-7104

Practitioners & affiliated clinicians

Practitioners 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1572652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631664000000",
    "number": "1407490444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 RIVERFRONT STE 410",
            "city": "WINONA",
            "state": "MN",
            "postal_code": "559873563",
            "telephone_number": "507-450-7104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 RIVERFRONT STE 410",
            "city": "WINONA",
            "state": "MN",
            "postal_code": "559873563",
            "telephone_number": "507-450-7104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODS PSYCHOLOGICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-02",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A",
        "authorized_official_last_name": "WOODS",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "507-450-7104",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LP, LPCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winona, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; 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.