Bonnie Jo Woods, PSYD
Individual provider Active NPI Clinical Psychologist · Grand Junction, CO
NPI 1619251949 · NPPES record last updated Jun 6, 2016
Key facts
- NPI
- 1619251949
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 4137 (CO)
- Practice address
- 515 28 3/4 Rd
Grand Junction, CO 81501-5016 - Phone
- (970) 241-6023
- Fax
- (970) 242-8330
- NPI assigned
- Oct 5, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190125001396 | NY | Practitioner - Clinical Psychologist | 8426349689 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neuropsychology & Psychology Services, P.C. | Clinical | Current |
Accepting new patients |
| Buffalo Behavioral Psychology, PC | Current |
Accepting new patients | |
| Colorado West Regional Mental Health, Inc. | Past |
Accepting new patients |
Locations
1825 Maple Rd
Ste 200
Williamsville, NY 14221
Phone (716) 687-8748
8616 Main St
Ste 2
Williamsville, NY 14221
Phone 71620401002
2813 Wehrle Dr
Ste 11
Williamsville, NY 14221
Phone (716) 249-4706
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 4137 | CO | Yes |
Addresses
Primary practice location
515 28 3/4 Rd
Grand Junction, CO 81501-5016
Mailing address
715 Horizon Dr Ste 225
Grand Junction, CO 81506-8743
Other providers in Grand Junction, CO
- Womens Healthcare of Western Colorado, P.C.
- Carson Graham Wood
- John Andrew Wood
- Stacey Anne Wood
- Trenten Michael Wood
- Janice Lea Woods
- Sherry Ann Woods
- Brent Allen Woodson
- Judith Woomer
- Whitney Work
All providers in Grand Junction, CO · Clinical Psychologist in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 6, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.