Active NPI
Gregory Wood, LMFT
- Marriage & Family Therapist
- Elk Grove, CA
National Provider Identifier
1811203102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 96693
- Practice address
- 8788 Elk Grove Blvd Ste 16
Elk Grove, CA 95624 - Phone
- (209) 404-5138
- NPI assigned
- Aug 24, 2010
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 96693 | CA | Primary |
Addresses
Primary practice location
8788 Elk Grove Blvd Ste 16
Elk Grove, CA 95624
Mailing address
8788 Elk Grove Blvd Ste 16
Elk Grove, CA 95624-1769
Phone (209) 404-5138
Other practice location 1
500 N 9th St
Suite B
Modesto, CA 95350-5814
Phone (209) 341-1824
Other practice location 2
619 13th St Ste M
Modesto, CA 95354-2455
Phone (209) 404-5138
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 96693 | Other | CA | BOARD OF BEHAVIORAL SCIENCES |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 96693 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Turnerwood Marriage and Family Therapy, Inc. | Marriage & Family Therapist | 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.
-
- Marriage & Family Therapist
- Elk Grove, CA
- NPI 1346876646
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534982400000",
"number": "1811203102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8788 ELK GROVE BLVD STE 16",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "956241769",
"telephone_number": "209-404-5138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8788 ELK GROVE BLVD STE 16",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "95624",
"telephone_number": "209-404-5138"
}
],
"practiceLocations": [
{
"address_1": "500 N 9th St",
"address_2": "Suite B",
"address_purpose": "LOCATION",
"city": "Modesto",
"state": "CA",
"postal_code": "953505814",
"country_code": "US",
"telephone_number": "209-341-1824",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "619 13th St Ste M",
"address_purpose": "LOCATION",
"city": "Modesto",
"state": "CA",
"postal_code": "953542455",
"country_code": "US",
"telephone_number": "209-404-5138",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WOOD",
"first_name": "GREGORY",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-08-24",
"last_updated": "2018-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "96693",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF BEHAVIORAL SCIENCES",
"identifier": "96693",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elk Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.