Active NPI
Dr. Jeffrey C. Wood, Psy.D., PLLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Boulder City, NV
National Provider Identifier
1700288784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- License
- 0699
- Legal business name
- DR. JEFFREY C. WOOD, PSY.D., PLLC
- Practice address
- 555 California Ave
Boulder City, NV 89005-2757 - Phone
- (702) 293-2231
- NPI assigned
- Sep 21, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jeffrey Christopher Wood, PSY.D.
- Title
- Psychologist
- Phone
- (702) 293-2231
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | 0699 | NV | Primary |
Addresses
Primary practice location
555 California Ave
Boulder City, NV 89005-2757
Mailing address
555 California Ave
Boulder City, NV 89005-2757
Phone (702) 293-2231
National Provider Directory
National Provider DirectoryLocations
555 California Ave
Boulder City, NV 89005
Phone (702) 293-5945
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411257600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1411257600000",
"number": "1700288784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 CALIFORNIA AVE",
"city": "BOULDER CITY",
"state": "NV",
"postal_code": "890052757",
"telephone_number": "702-293-2231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 CALIFORNIA AVE",
"city": "BOULDER CITY",
"state": "NV",
"postal_code": "890052757",
"telephone_number": "702-293-2231"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR. JEFFREY C. WOOD, PSY.D., PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-09-21",
"last_updated": "2014-09-21",
"status": "A",
"authorized_official_last_name": "WOOD",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "CHRISTOPHER",
"authorized_official_title_or_position": "PSYCHOLOGIST",
"authorized_official_telephone_number": "702-293-2231",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSY.D."
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "NV",
"license": "0699",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boulder City, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.