Marcia Johnston Wood, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

1060 Issued in OR

Practice address

5441 SW Macadam, Suite104
Portland, OR 97239-3821

Phone

(503) 248-4511

Fax

(503) 248-6385

NPI assigned

Sep 20, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Paul Myers, PH.D., LLC

  • Adult Mental Health Clinic/Center
  • Portland, OR
  • NPI 1134633100
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881791226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5441 SW MACADAM, SUITE104",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393821",
            "telephone_number": "503-248-4511",
            "fax_number": "503-248-6385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5441 SW MACADAM, SUITE104",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393821",
            "telephone_number": "503-248-4511",
            "fax_number": "503-248-6385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "MARCIA",
        "middle_name": "JOHNSTON",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OR",
            "license": "1060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiana Wood
• Lena Soo Hee Wood, CNM
• Lisa Jo Wood
• Lorca Shalom Wood, LMT
• Louise Maddison Wood, MBBS
• Matthew Duncan Wood, M.D., PH.D.
• Natalie Wood
• Nicolette Wood, LMT
• Pamela Beth Wood, MA, LAT, ATR
• Penelope Wood

• Psychologist in Portland, OR
• Providers in Portland, OR by specialty
• Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.