Woollard Ipsen Managment LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

WOOLLARD IPSEN MANAGMENT LLC

Practice address

832 E Main St
Medford, OR 97504-7153

Phone

(541) 773-2771

Fax

(541) 773-2808

NPI assigned

Jun 18, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Todd Monroe Woollard

Title

Managing Member

Phone

(541) 773-2771

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1592438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592438400000",
    "number": "1528684255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "832 E MAIN ST",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975047153",
            "telephone_number": "541-773-2771",
            "fax_number": "541-773-2808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "832 E MAIN ST",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975047153",
            "telephone_number": "541-773-2771",
            "fax_number": "541-773-2808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOOLLARD IPSEN MANAGMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-18",
        "last_updated": "2020-06-18",
        "certification_date": "2020-06-18",
        "status": "A",
        "authorized_official_last_name": "WOOLLARD",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "MONROE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "541-773-2771",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "733254",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexandria Rae Woodrow, B.A. PSYCHOLOGY
• Andrea Galen Woods, LMFT
• Mark Farrel Woods
• Nisha Marie Woods, MS, WHCNP
• Nancy E Woodward, MSW, LCSW
• Randy D Wooton, DMD
• Ronald G Worland, MD
• World of Kindness LLC
• Amie Woyna, LMT #21801
• Caleb Wright

• Behavior Analyst in Medford, OR
• Providers in Medford, OR by specialty
• Behavior Analyst in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2020; 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.