Individual provider Active NPI

Ashley M Wood, PSYD

  • Clinical Psychologist
  • Chicago, IL
National Provider Identifier
1609355718
Registry record updated Sep 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071.009736 Issued in IL
Practice address
500 N Michigan Ave Ste 1520
Chicago, IL 60611-3758
Phone
(312) 283-1834
NPI assigned
Aug 9, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 071.009736 IL Primary

Addresses

Primary practice location

500 N Michigan Ave Ste 1520
Chicago, IL 60611-3758

Mailing address

721 W Brompton Ave Unit 1E
Chicago, IL 60657-1830
Phone (703) 203-0875

Other practice location 1

190 Prospect Avenue
Elmhurst College Counseling Center
Elmhurst, IL 60126
Phone (630) 617-3565

Other practice location 2

55 E Monroe St Ste 3800
Chicago, IL 60603-6030
Phone (312) 283-1834

Other practice location 3

721 W Brompton Ave Unit 1E
Chicago, IL 60657-1830
Phone (703) 203-0875

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
071.009736ILMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1533772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1609355718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 W BROMPTON AVE UNIT 1E",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606571830",
            "telephone_number": "703-203-0875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N MICHIGAN AVE STE 1520",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606113758",
            "telephone_number": "312-283-1834"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "190 Prospect Avenue",
            "address_2": "Elmhurst College Counseling Center",
            "address_purpose": "LOCATION",
            "city": "Elmhurst",
            "state": "IL",
            "postal_code": "60126",
            "country_code": "US",
            "telephone_number": "630-617-3565",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "55 E Monroe St Ste 3800",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606036030",
            "country_code": "US",
            "telephone_number": "312-283-1834",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "721 W Brompton Ave Unit 1E",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606571830",
            "country_code": "US",
            "telephone_number": "703-203-0875",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOOD",
        "first_name": "ASHLEY",
        "middle_name": "M",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-09",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.009736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.