Woodlands Psychological Services, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

5130 Issued in OH

Legal business name

WOODLANDS PSYCHOLOGICAL SERVICES, LLC

Practice address

134 W South Boundary St
Suite N
Perrysburg, OH 43551-1763

Phone

(419) 861-5430

Fax

(419) 861-7611

NPI assigned

Nov 26, 2007

Organization subpart

No

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

Authorized official

Name

Stephanie Henry-Buhk, PHD

Title

Owner

Phone

(419) 931-0260

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1196035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392681600000",
    "number": "1649451188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 W SOUTH BOUNDARY ST",
            "address_2": "SUITE N",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435511763",
            "telephone_number": "419-931-0260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 W SOUTH BOUNDARY ST",
            "address_2": "SUITE N",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435511763",
            "telephone_number": "419-861-5430",
            "fax_number": "419-861-7611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODLANDS PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-26",
        "last_updated": "2014-02-18",
        "status": "A",
        "authorized_official_last_name": "HENRY-BUHK",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-931-0260",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "5130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0257770",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara Witzler, MA, LPCC
• Erica C Wolff, DNP, BSN, FNP-BC, RN
• Kara Lynn Wollenweber, C.N.P.
• Deborah M Wong
• John Rolland Wood, OD
• Samantha Woodward
• Lori J Worline, M.ED.
• Carissa Wott, PH.D.
• Kuldip Wright, OTR/L
• Lauren M Wright, MA CCC-SLP

• Clinical Psychologist in Perrysburg, OH
• Providers in Perrysburg, OH by specialty
• Clinical Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2014; 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.