Jennalee Shea Wooldridge, PHD

Primary specialty

Health PsychologistTaxonomy code 103TH0004X

License

31357 Issued in CA

Practice address

12526 High Bluff Dr Ste 300
San Diego, CA 92130-2067

Phone

(619) 432-2857

NPI assigned

Mar 20, 2020

Last updated

Feb 24, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1584662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614124800000",
    "number": "1528694601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3350 LA JOLLA VILLAGE DR # 116B",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921610002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12526 HIGH BLUFF DR STE 300",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921302067",
            "telephone_number": "619-432-2857"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3350 La Jolla Village Dr # 116B",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921610002",
            "country_code": "US",
            "telephone_number": "858-552-8585 x6946",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOOLDRIDGE",
        "first_name": "JENNALEE",
        "middle_name": "SHEA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-20",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "CA",
            "license": "31357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Soane Woodward
• Stephanie Marie Woodward, MD
• Kimberley Woodworth, MSW
• Kristen Ober Woodworth
• Shauna Woody, DDS
• Kathy Wooldridge
• Nancy Gail Wooldridge, LCSW
• Andrea Lynn Woolf, LMFT
• Brian David Woolford, MD
• Lauren Woolley, PHD

• Health Psychologist in San Diego, CA
• Providers in San Diego, CA by specialty
• Health Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2021; 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.