Active NPI
Paul Andrew Wood, M.D.
- Psychiatry Physician
- Wellesley, MA
National Provider Identifier
1861585101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 72029
- Practice address
- One Hollis Street
Suite 235
Wellesley, MA 02482-7900 - Phone
- (617) 876-1530
- Fax
- (206) 984-4535
- NPI assigned
- Sep 30, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 72029 | MA | Primary |
Addresses
Primary practice location
One Hollis Street
Suite 235
Wellesley, MA 02482-7900
Mailing address
55 Yorkshire Rd
Dover, MA 02030-2371
Phone (617) 876-1530
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: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Nov 8, 2022 through Nov 8, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 72029 | MA | MD | Psychiatry Physician |
Interoperability endpoints
- paulwoodmd@139113.advancedmd-direct.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729123200000",
"number": "1861585101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 YORKSHIRE RD",
"city": "DOVER",
"state": "MA",
"postal_code": "020302371",
"telephone_number": "617-876-1530",
"fax_number": "206-984-4535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ONE HOLLIS STREET",
"address_2": "SUITE 235",
"city": "WELLESLEY",
"state": "MA",
"postal_code": "024827900",
"telephone_number": "617-876-1530",
"fax_number": "206-984-4535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOD",
"first_name": "PAUL",
"middle_name": "ANDREW",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-30",
"last_updated": "2024-10-17",
"certification_date": "2024-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MA",
"license": "72029",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wellesley, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; 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.