Arlis Gale Wood, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

32316 Issued in TX

Practice address

1201 W Loop 281
Suite 501
Longview, TX 75604-2937

Phone

(903) 445-3780

NPI assigned

Aug 14, 2006

Last updated

Jun 4, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advanced Interventions Associates, Inc.

  • Clinic/Center
  • Longview, TX
  • NPI 1861662447
  Authorized official Same address or phone

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212537600000",
    "number": "1801809777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6288",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756086288",
            "telephone_number": "903-445-3780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 W LOOP 281",
            "address_2": "SUITE 501",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756042937",
            "telephone_number": "903-445-3780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "ARLIS",
        "middle_name": "GALE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2008-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "32316",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OK",
            "license": "330",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "171974201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dorothy McKenzie Womack, FNP-C
• Stephen Womack, MD
• Aiya Christina Wommack, RN
• Tonya Wong
• Wood OB GYN Associates
• Jennifer Michelle Wood, PMHNP-BC
• Johnny D. Wood, M.D.
• Teresa Wood, MD
• Chela C Woods
• Melanie Woods, LPC-ASSOCIATE

• Psychologist in Longview, TX
• Providers in Longview, TX by specialty
• Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2008; 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.