Organization 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
Registry record updated Sep 21, 2014
On this page

Key facts

NPPES NPI Registry
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
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2014

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.