Individual provider Active NPI

Ted Woolums

  • School Psychologist
  • Canton, OH
National Provider Identifier
1831514264
Registry record updated Feb 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
UA1010220 Issued in OH
Practice address
305 McKinley Ave NW
Canton, OH 44702-1717
Phone
(330) 438-2551
NPI assigned
Feb 21, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X UA1010220 OH Primary

Addresses

Primary practice location

305 McKinley Ave NW
Canton, OH 44702-1717

Mailing address

305 McKinley Ave NW
Canton, OH 44702-1717
Phone (330) 438-2551

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

LicenseStateTypeSpecialty
UA1010220OHMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Canton City School District Past Accepting new patients
Board of Education Canton City School District PastSince Jan 1, 2024 Accepting new patients

Organizations & group practices 2

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": "1392940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392940800000",
    "number": "1831514264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 MCKINLEY AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447021717",
            "telephone_number": "330-438-2551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 MCKINLEY AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447021717",
            "telephone_number": "330-438-2551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOLUMS",
        "first_name": "TED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-02-21",
        "last_updated": "2014-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "OH",
            "license": "UA1010220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2014; 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.