Individual provider Active NPI

Candice Woo, PH.D.

  • Clinical Psychologist
  • New York, NY
National Provider Identifier
1801509153
Registry record updated Jan 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
020160 Issued in NY
Practice address
156 5TH Ave Ste 1234
New York, NY 10010-7739
Phone
(917) 628-1612
NPI assigned
Jan 2, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 020160 NY Primary

Addresses

Primary practice location

156 5TH Ave Ste 1234
New York, NY 10010-7739

Mailing address

15 E 26TH St Apt 9CD
New York, NY 10010-1505
Phone (917) 628-1612

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cwoo@candicewoophd.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
020160NYMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1672617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672617600000",
    "number": "1801509153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 E 26TH ST APT 9CD",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100101505",
            "telephone_number": "917-628-1612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 5TH AVE STE 1234",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100107739",
            "telephone_number": "917-628-1612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOO",
        "first_name": "CANDICE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-02",
        "last_updated": "2023-01-02",
        "certification_date": "2023-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "020160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cwoo@candicewoophd.com",
            "affiliation": "N",
            "address_1": "156 5th Ave Ste 1234",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100107739",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2023; 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.