Active NPI
Sally Medora Wood, PH.D.
- Psychologist
- Davis, CA
National Provider Identifier
1578528386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY 10277
- Practice address
- 604 3Rd St
Davis, CA 95616-4553 - Phone
- (530) 756-8754
- Fax
- (530) 297-0766
- NPI assigned
- Apr 18, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY 10277 | CA | Primary |
Addresses
Primary practice location
604 3Rd St
Davis, CA 95616-4553
Mailing address
604 3Rd St
Davis, CA 95616-4553
Phone (530) 756-8754
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7290-01 | Other | CA | PACIFICARE |
| 61-73217 | Other | CA | UNITED HEALTHCARE SERVICE |
| 680307290T4B2AU | Other | CA | HUMAN AFFAIRS INTERNATION |
| 0001010300 | Other | CA | MANAGED HEALTH NETWORK |
| A792509 | Other | CA | VALUE OPTIONS |
| OPL102770 | Other | CA | BLUE SHIELD OF CALIFORNIA |
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 Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 10277 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1578528386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "604 3RD ST",
"city": "DAVIS",
"state": "CA",
"postal_code": "956164553",
"telephone_number": "530-756-8754",
"fax_number": "530-297-0766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "604 3RD ST",
"city": "DAVIS",
"state": "CA",
"postal_code": "956164553",
"telephone_number": "530-756-8754",
"fax_number": "530-297-0766"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOD",
"first_name": "SALLY",
"middle_name": "MEDORA",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-18",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY 10277",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PACIFICARE",
"identifier": "7290-01",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE SERVICE",
"identifier": "61-73217",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMAN AFFAIRS INTERNATION",
"identifier": "680307290T4B2AU",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MANAGED HEALTH NETWORK",
"identifier": "0001010300",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "A792509",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF CALIFORNIA",
"identifier": "OPL102770",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Davis, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.