NPIMap

Organization Active NPI

Randy Wood PHD

  • Clinical Psychologist
  • Ventura, CA
National Provider Identifier
1487988655
Registry record updated Sep 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY7570 Issued in CA
Legal business name
RANDY WOOD PHD
Practice address
2580 E Main St
Suite 100
Ventura, CA 93003-2646
Phone
(805) 653-6899
Fax
(805) 643-0022
NPI assigned
Sep 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2009

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

Authorized official

Name
Randy Wood, PH.D.NPI 1427087964
Title
Psychologist
Phone
(805) 653-6899

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PSY7570 CA Primary

Addresses

Primary practice location

2580 E Main St
Suite 100
Ventura, CA 93003-2646

Mailing address

2580 E Main St
Suite 100
Ventura, CA 93003-2646
Phone (805) 653-6899

National Provider Directory

National Provider Directory

Locations

2580 E Main St
Ste 100
Ventura, CA 93003
Phone (805) 402-3967

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1253577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253577600000",
    "number": "1487988655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2580 E MAIN ST",
            "address_2": "SUITE 100",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930032646",
            "telephone_number": "805-653-6899",
            "fax_number": "805-643-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2580 E MAIN ST",
            "address_2": "SUITE 100",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930032646",
            "telephone_number": "805-653-6899",
            "fax_number": "805-643-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDY WOOD PHD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-22",
        "last_updated": "2009-09-22",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "805-653-6899",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY7570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2009; 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.