Active NPI
Jody Lynn Woodward, PH.D.
- Clinical Psychologist
- Chesterfield, MO
National Provider Identifier
1780673186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2005005795
- Practice address
- 14561 N Outer 40 Rd
Ste 250
Chesterfield, MO 63017-5703 - Phone
- (636) 288-9631
- Fax
- (877) 842-8918
- NPI assigned
- Oct 18, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 2005005795 | MO | Primary |
Addresses
Primary practice location
14561 N Outer 40 Rd
Ste 250
Chesterfield, MO 63017-5703
Mailing address
1976 Pickfair Dr
Saint Louis, MO 63146-3628
Phone (636) 288-9631
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 197560 | Other | MO | BCBS MISSOURI |
| 497215111 | Medicaid | MO | |
| 797676000 | Other | MO | MAGELLAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050929000145 | MO | Practitioner - Clinical Psychologist | 2567403041 | Practice locations: Saint Louis, MO |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1976 Pickfair Dr
Saint Louis, MO 63146-3628
Phone (636) 288-9631
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thomas J. Lantsberger, PH.D. LLC | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1780673186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1976 PICKFAIR DR",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631463628",
"telephone_number": "636-288-9631",
"fax_number": "877-842-8918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14561 N OUTER 40 RD",
"address_2": "STE 250",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630175703",
"telephone_number": "636-288-9631",
"fax_number": "877-842-8918"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODWARD",
"first_name": "JODY",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-18",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MO",
"license": "2005005795",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MISSOURI",
"identifier": "197560",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "497215111",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "797676000",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chesterfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.