Jacinta Perez Rodriguez Wood, D.O.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

OS008771L Issued in PA

Practice address

1800 Market St
Lewisburg, PA 17837-1236

Phone

(570) 524-9477

Fax

(570) 524-9492

NPI assigned

Jul 14, 2006

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

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

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.

• Community Services Group, Inc.

  • Community/Behavioral Health Agency
  • Mountville, PA
  • NPI 1265426084
  NPD (past)
• Pennsylvania Department of Human Services

  dba White Haven Center

  • Intellectual Disabilities Intermediate Care Facility
  • White Haven, PA
  • NPI 1760465454
  NPD (past)
• Tri County Human Services Center Inc

  • Case Management Agency
  • Carbondale, PA
  • NPI 1710186952
  NPD (past)
• Tri County Human Services Center Inc

  dba Maxis Counseling

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Carbondale, PA
  • NPI 1912966805
  NPD (past)

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1609892744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 CAMELTOWN HILL RD",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178219589",
            "telephone_number": "570-275-6614",
            "fax_number": "570-524-9492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 MARKET ST",
            "city": "LEWISBURG",
            "state": "PA",
            "postal_code": "178371236",
            "telephone_number": "570-524-9477",
            "fax_number": "570-524-9492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ RODRIGUEZ WOOD",
        "first_name": "JACINTA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "OS008771L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016229720010",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA BLUE SHIELD - FLS",
            "identifier": "716009",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS - FLS",
            "identifier": "50013428",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Theresa Paules
• James Allen Payne, PTA
• Christie Peck
• Kelly Peffer, PTA
• Pennsylvania CVS Pharmacy, L.L.C. (CVS Pharmacy #01604)
• Kathryn Persun
• Kimberly A Pesarchick, PA-C
• Karen S Pesillo, PHDHP
• Phillip Robert Peterson, M.D.
• Vladimir Petorak Jr., MD

• Psychiatry Physician in Lewisburg, PA
• Providers in Lewisburg, PA by specialty
• Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.

Verify at the official NPI Registry.