Individual provider Active NPI

Ryan Samuel Wooden, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Collingswood, NJ
National Provider Identifier
1558032821
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ01205500 Issued in NJ
Practice address
225 Haddon Ave
Collingswood, NJ 08108-1138
Phone
(609) 367-3466
NPI assigned
Sep 25, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X L8-0010309 DE
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ01205500 NJ Primary

Addresses

Primary practice location

225 Haddon Ave
Collingswood, NJ 08108-1138

Mailing address

612 N Garfield Ave
Moorestown, NJ 08057-1011
Phone (609) 367-3466

Other practice location 1

200 Continental Dr Ste 401
Newark, DE 19713-4337
Phone (609) 928-8517

Other practice location 2

1000 N West St
Wilmington, DE 19801-1050
Phone (323) 205-7088

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, DE2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220218000517 NJ Practitioner - Nurse Practitioner 8921492844 Reassigns benefits to 2 organizations
I20230110000748 DE Practitioner - Nurse Practitioner 8921492844 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Drexel University College of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Anew Mental HealthGroup PAC ID 3870810229, 6 clinicians

Practice addresses (Care Compare)

819 S Governors Ave
Dover, DE 19904-4158
Phone (302) 678-4558

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
L8-0010309DEMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Counseling LLC CurrentSince Jan 22, 2023 Accepting new patients
Grow Healthcare Group of New Jersey PC Psychiatric/Mental Health CurrentSince Jul 13, 2024 Accepting new patients
Anew Mental Health CurrentSince Dec 1, 2022 Accepting new patients
Mindshield LLC Psychiatric/Mental Health Current Accepting new patients
Lifebulb LLC PastSince Oct 16, 2022 Accepting new patients

Locations

819 S Governors Ave
Dover, DE 19904
Phone (302) 678-4558

200 Continental Dr
Ste 401
Newark, DE 19713
Phone (302) 238-6200

1030 Kings Hwy N
Ste 202
Cherry Hill, NJ 08034
Phone (201) 820-0057

221 River St
Ste 9
Hoboken, NJ 07030
Phone (201) 439-8902

505 Main St
Toms River, NJ 08753
Phone (732) 272-0127

1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263

Organizations & group practices 5

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": "1632528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1558032821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 N GARFIELD AVE",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080571011",
            "telephone_number": "609-367-3466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 HADDON AVE",
            "city": "COLLINGSWOOD",
            "state": "NJ",
            "postal_code": "081081138",
            "telephone_number": "609-367-3466"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Continental Dr Ste 401",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "DE",
            "postal_code": "197134337",
            "country_code": "US",
            "telephone_number": "609-928-8517",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 N West St",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198011050",
            "country_code": "US",
            "telephone_number": "323-205-7088",
            "fax_number": "833-419-0181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOODEN",
        "first_name": "RYAN",
        "middle_name": "SAMUEL",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-25",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "DE",
            "license": "L8-0010309",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ01205500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Collingswood, NJ

Sources for this page

Verify at the official NPI Registry.