George David Woodward, EDD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

30828 Issued in TX

Practice address

3115 Loop 306
Suite 110
San Angelo, TX 76904-5983

Phone

(325) 942-1952

Fax

(325) 942-1517

NPI assigned

Jul 19, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Patrick D Randolph PHD IncGroup PAC ID 7810054632, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Patrick D Randolph PHD Inc

  • Psychologist
  • Lubbock, TX
  • NPI 1740267285

  Clinical

  Medicare reassignment Care Compare group NPD
• Psychspring, P.L.L.C.

  • Psychologist
  • San Angelo, TX
  • NPI 1487868543
  NPD (past)
• Therapractic Management Systems

  • Counselor
  • Lubbock, TX
  • NPI 1144790130
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358726400000",
    "number": "1720007685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3115 LOOP 306",
            "address_2": "SUITE 110",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769045983",
            "telephone_number": "325-942-1952",
            "fax_number": "325-942-1517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3115 LOOP 306",
            "address_2": "SUITE 110",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769045983",
            "telephone_number": "325-942-1952",
            "fax_number": "325-942-1517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODWARD",
        "first_name": "GEORGE",
        "middle_name": "DAVID",
        "credential": "EDD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2013-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "30828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "87707A",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "029993503",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan M Winkelspecht, M.S., LPC
• William Winn, D.O.
• Adal Wolde, CRNA
• Michael Alan Wood, M.D.
• Jean G Woodman, MD
• Charis Martin Worden, OTR
• Wright Chiropractic, P.C.
• Aimee Sue Wright, MSN, RN
• Amanda Wright, RN,BSN
• Jaci Wright, LCSW

• Clinical Psychologist in San Angelo, TX
• Providers in San Angelo, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.