Active NPI
Michelle Woody, M.ED.
- School Psychologist
- Cleveland, OH
National Provider Identifier
1669870051
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- OH1312935
- Practice address
- 1349 East 79TH Street
East Professional Center, Room 103
Cleveland, OH 44103 - Phone
- (216) 838-0280
- Fax
- (216) 426-3905
- NPI assigned
- Dec 17, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | OH1312935 | OH | Primary |
Addresses
Primary practice location
1349 East 79TH Street
East Professional Center, Room 103
Cleveland, OH 44103
Mailing address
1349 East 79TH Street
East Professional Center, Room 103
Cleveland, OH 44103
Phone (216) 838-0280
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OH1312935 | OH | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418774400000",
"number": "1669870051",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1349 EAST 79TH STREET",
"address_2": "EAST PROFESSIONAL CENTER, ROOM 103",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "44103",
"telephone_number": "216-838-0280",
"fax_number": "216-426-3905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1349 EAST 79TH STREET",
"address_2": "EAST PROFESSIONAL CENTER, ROOM 103",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "44103",
"telephone_number": "216-838-0280",
"fax_number": "216-426-3905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODY",
"first_name": "MICHELLE",
"credential": "M.ED.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-12-17",
"last_updated": "2014-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "OH",
"license": "OH1312935",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.