Active NPI
Joan Wood, PH.D.
- Clinical Psychologist
- Arlington Heights, IL
National Provider Identifier
1780743229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071003761
- Practice address
- 1655 N Arlington Heights Rd
Suite 304-E
Arlington Heights, IL 60004-3982 - Phone
- (847) 670-0880
- Fax
- (847) 670-1268
- NPI assigned
- Dec 8, 2006
- 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 | 071003761 | IL | Primary |
Addresses
Primary practice location
1655 N Arlington Heights Rd
Suite 304-E
Arlington Heights, IL 60004-3982
Mailing address
1655 N Arlington Heights Rd
Suite 304-E
Arlington Heights, IL 60004-3982
Phone (847) 670-0880
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1673285 | Other | IL | BLUE CROSS BLUE SHIELD |
| 0021646695 | Other | IL | BCBS PROVIDER NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective May 25, 2007 through May 25, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218499200000",
"number": "1780743229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1655 N ARLINGTON HEIGHTS RD",
"address_2": "SUITE 304-E",
"city": "ARLINGTON HEIGHTS",
"state": "IL",
"postal_code": "600043982",
"telephone_number": "847-670-0880",
"fax_number": "847-670-1268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1655 N ARLINGTON HEIGHTS RD",
"address_2": "SUITE 304-E",
"city": "ARLINGTON HEIGHTS",
"state": "IL",
"postal_code": "600043982",
"telephone_number": "847-670-0880",
"fax_number": "847-670-1268"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOD",
"first_name": "JOAN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-08",
"last_updated": "2008-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071003761",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "1673285",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "0021646695",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Arlington Heights, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2008; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.