Active NPI
Barbara Sullivan Woodward, PH.D.
- Clinical Psychologist
- Dubuque, IA
National Provider Identifier
1588706121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 00498
- Practice address
- 2304 Simpson St
Dubuque, IA 52003-7719 - Phone
- (866) 244-5721
- NPI assigned
- Feb 12, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 00498 | IA | Primary |
Addresses
Primary practice location
2304 Simpson St
Dubuque, IA 52003-7719
Mailing address
PO Box 1084
Dubuque, IA 52004-1084
Phone (866) 244-5721
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0032417 | Medicaid | IA | |
| 030155 | Other | IA | BCBS OF IOWA |
| A007185 | Other | IA | CHAMPUS |
| 421236341-01 | Other | IA | HMO OF WISCONSIN |
| 421306312016 | Other | WI | BCBS WISCONSIN |
| C877HN | Other | IA | HERITAGE NATIONAL HEALTH |
| 912-72002-00 | Other | IL | BCBS OF ILLINOIS |
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 |
|---|---|---|---|
| 00498 | IA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dubuque Family Practice, PC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Medical Specialty Clinic/Center
- Dubuque, IA
- NPI 1467411611
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1588706121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1084",
"city": "DUBUQUE",
"state": "IA",
"postal_code": "520041084",
"telephone_number": "866-244-5721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2304 SIMPSON ST",
"city": "DUBUQUE",
"state": "IA",
"postal_code": "520037719",
"telephone_number": "866-244-5721"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODWARD",
"first_name": "BARBARA",
"middle_name": "SULLIVAN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IA",
"license": "00498",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0032417",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF IOWA",
"identifier": "030155",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS",
"identifier": "A007185",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMO OF WISCONSIN",
"identifier": "421236341-01",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS WISCONSIN",
"identifier": "421306312016",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HERITAGE NATIONAL HEALTH",
"identifier": "C877HN",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF ILLINOIS",
"identifier": "912-72002-00",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dubuque, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.