Active NPI
Philip K. Wu, MD, PHD
- Psychiatry Physician
- Bedford, NH
National Provider Identifier
1477512804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 11980
- Practice address
- 7 Colby CT # 7-153
Bedford, NH 03110-6427 - Phone
- (603) 714-9382
- NPI assigned
- Mar 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 11980 | NH | Primary |
Addresses
Primary practice location
7 Colby CT # 7-153
Bedford, NH 03110-6427
Mailing address
7 Colby CT # 7-153
Bedford, NH 03110-6427
Phone (603) 714-9382
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30203745 | Medicaid | NH | |
| 01Y001630NH01 | Other | NH | ANTHEM ACES 3 |
| 2084240 | Other | NH | CIGNA BH PIN |
| P00054110 | Other | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11980 | NH | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Matrix Health Systems P.C. | Past | Accepting new patients | |
| Northern Lights Sleep Medicine, PC | Past | Accepting new patients | |
| Elliot Professional Services | Psychiatry | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Clinical Psychologist
- Burlington, VT
- NPI 1104872712
-
- Specialist
- Plattsburgh, NY
- NPI 1851437339
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1477512804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 COLBY CT # 7-153",
"city": "BEDFORD",
"state": "NH",
"postal_code": "031106427",
"telephone_number": "603-714-9382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 COLBY CT # 7-153",
"city": "BEDFORD",
"state": "NH",
"postal_code": "031106427",
"telephone_number": "603-714-9382"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WU",
"first_name": "PHILIP",
"middle_name": "K.",
"name_prefix": "Dr.",
"credential": "MD, PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-23",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NH",
"license": "11980",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30203745",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM ACES 3",
"identifier": "01Y001630NH01",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA BH PIN",
"identifier": "2084240",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00054110",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Bedford, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.