Active NPI
Jessica Elizabeth Woods, PHD
- Clinical Child & Adolescent Psychologist
- Springfield, PA
National Provider Identifier
1689103715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- License
- PS016709
- Practice address
- 69 Worrell Dr
Springfield, PA 19064-3346 - Phone
- (267) 226-2065
- NPI assigned
- Jun 12, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | PS016709 | PA | Primary |
| Intellectual & Developmental Disabilities Psychologist | 103TM1800X | PS016709 | PA |
Addresses
Primary practice location
69 Worrell Dr
Springfield, PA 19064-3346
Mailing address
69 Worrell Dr
Springfield, PA 19064-3346
Phone (267) 226-2065
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS016709 | PA | MD | Intellectual & Developmental Disabilities Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1497225600000",
"number": "1689103715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "69 WORRELL DR",
"city": "SPRINGFIELD",
"state": "PA",
"postal_code": "190643346",
"telephone_number": "267-226-2065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "69 WORRELL DR",
"city": "SPRINGFIELD",
"state": "PA",
"postal_code": "190643346",
"telephone_number": "267-226-2065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODS",
"first_name": "JESSICA",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-06-12",
"last_updated": "2017-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "PA",
"license": "PS016709",
"primary": true
},
{
"code": "103TM1800X",
"taxonomy_group": "",
"desc": "Psychologist, Intellectual & Developmental Disabilities",
"state": "PA",
"license": "PS016709",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.