Jeffrey J. Wood, PH.D., a Psychology Corporation

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

PSY19857 Issued in CA

Legal business name

JEFFREY J. WOOD, PH.D., A PSYCHOLOGY CORPORATION

Practice address

10436 Santa Monica Blvd
3050
Los Angeles, CA 90025-6933

Phone

(310) 701-1983

NPI assigned

Dec 8, 2008

Last updated

Sep 14, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey Wood, PHD

Title

Psychologist

Phone

(310) 701-1983

Specialties & licenses 1

Addresses

Other names 1

• Jeff Wood Other name

Locations

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

{
    "created_epoch": "1228694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347580800000",
    "number": "1427293224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10436 SANTA MONICA BLVD",
            "address_2": "3050",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900256933",
            "telephone_number": "310-701-1983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10436 SANTA MONICA BLVD",
            "address_2": "3050",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900256933",
            "telephone_number": "310-701-1983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY J. WOOD, PH.D., A PSYCHOLOGY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-08",
        "last_updated": "2012-09-14",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "310-701-1983",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "CA",
            "license": "PSY19857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jeff Wood",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Jeffrey M Sage D.O. Inc.
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• Jeffrey S Goodman M D Inc
• Jeffrey Tucker a Chiropractic Corp (Total Health)

• Clinical Child & Adolescent Psychologist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Clinical Child & Adolescent Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2012; 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.