Individual provider Active NPI

Jessica Woods, PSY.D.

  • Clinical Psychologist
  • Voorhees, NJ
National Provider Identifier
1477109205
Registry record updated Aug 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
35SI00614500 Issued in NJ
Practice address
2050 Voorhees Town Ctr
Voorhees, NJ 08043-1910
Phone
(855) 852-8150
NPI assigned
Aug 16, 2019
Last updated
Aug 16, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 35SI00614500 NJ Primary

Addresses

Primary practice location

2050 Voorhees Town Ctr
Voorhees, NJ 08043-1910

Mailing address

2050 Voorhees Town Ctr
Voorhees, NJ 08043-1910
Phone (855) 852-8150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210818002706 TX Practitioner - Clinical Psychologist 6901201615 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Austin Center for Therapy and AssessmentGroup PAC ID 0648588061, 8 clinicians

Practice addresses (Care Compare)

5920 W William Cannon Dr
BLDG 6 222
Austin, TX 78749-1909
Phone (512) 282-2282

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35SI00614500NJMDClinical Psychologist
39003TXMDDevelopmental Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Center for Therapy and Assessment CurrentSince Aug 1, 2021 Accepting new patients

Locations

5920 W William Cannon Dr
Bldg 6-222
Austin, TX 78749
Phone (512) 282-2282

8103 Brodie Ln
Ste 1
Austin, TX 78745
Phone (512) 282-2282

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1565913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565913600000",
    "number": "1477109205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 VOORHEES TOWN CTR",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080431910",
            "telephone_number": "855-852-8150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 VOORHEES TOWN CTR",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080431910",
            "telephone_number": "855-852-8150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODS",
        "first_name": "JESSICA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-16",
        "last_updated": "2019-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35SI00614500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Voorhees, NJ

Sources for this page

Verify at the official NPI Registry.