Dr. Jeffrey C. Wood, Psy.D., PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

0699 Issued in NV

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

Last updated

Sep 21, 2014By the provider in NPPES

Organization subpart

No

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.NPI 1295993863

Title

Psychologist

Phone

(702) 293-2231

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeffrey Christopher Wood, PSY.D.

  • Clinical Psychologist
  • Boulder City, NV
  • NPI 1295993863
  Authorized official Same address or phone

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": []
}

• Jonnie Lynn Dooley
• Cami Lynn Doty
• Douglas D Lee OD LTD (Clearvision Eye Center)
• Barbara Douse
• Alana Dowling
• Patrick Charles Duffy, PTA
• Hailee Dumond, COTA
• Meggan Duncan, MS-CCC-SLP
• Jason Ealy
• Brian Victor Earley, DO

• Mental Health Clinic/Center (Including Community Mental Health Center) in Boulder City, NV
• Providers in Boulder City, NV by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Nevada

• 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.

Verify at the official NPI Registry.