Active NPI
Carol Joan Wood, PHD
- Psychologist
- Honolulu, HI
National Provider Identifier
1679646285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 337
- Practice address
- 615 Piikoi
Suit 1409
Honolulu, HI 96814 - Phone
- (808) 596-8038
- Fax
- (808) 589-1576
- NPI assigned
- Nov 15, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 337 | HI | Primary |
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | 41495 | HI | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 337 | HI |
Addresses
Primary practice location
615 Piikoi
Suit 1409
Honolulu, HI 96814
Mailing address
615 Piikoi
Suit 1409
Honolulu, HI 96814
Phone (808) 596-8038
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41495 | HI | MD | Addiction (Substance Use Disorder) Psychologist |
| 337 | HI | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heather H. McDermott, Psy.D., LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Psychologist
- Honolulu, HI
- NPI 1629405493
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352764800000",
"number": "1679646285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 PIIKOI",
"address_2": "SUIT 1409",
"city": "HONOLULU",
"state": "HI",
"postal_code": "96814",
"telephone_number": "808-596-8038",
"fax_number": "808-589-1576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 PIIKOI",
"address_2": "SUIT 1409",
"city": "HONOLULU",
"state": "HI",
"postal_code": "96814",
"telephone_number": "808-596-8038",
"fax_number": "808-589-1576"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOD",
"first_name": "CAROL",
"middle_name": "JOAN",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-15",
"last_updated": "2012-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "HI",
"license": "337",
"primary": true
},
{
"code": "103TA0400X",
"taxonomy_group": "",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": "HI",
"license": "41495",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "HI",
"license": "337",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.