Active NPI
Dennis Patrick Wood, PHD
- Psychologist
- Coronado, CA
National Provider Identifier
1942236716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY 19293
- Practice address
- 1050 B Ave
Suite B
Coronado, CA 92118-3430 - Phone
- (619) 437-0355
- NPI assigned
- Jun 24, 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY 19293 | CA | Primary |
Addresses
Primary practice location
1050 B Ave
Suite B
Coronado, CA 92118-3430
Mailing address
1050 B Ave
Suite B
Coronado, CA 92118-3430
Phone (619) 437-0355
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1350 Columbia St
Unit 800
San Diego, CA 92101-3456
Phone (619) 255-1652
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 19293 | CA | MD | Psychologist |
| 19293 | CA | MD | Neonatal/Pediatric Certified Respiratory Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Monterey County Memorial Hospital | Current | Accepting new patients | |
| Southern Monterey County Memorial Hospital | Current | Accepting new patients | |
| Robert Zalewski-Zaragoza, MD, Inc | Current | Accepting new patients | |
| Sharp Coronado Hospital and Healthcare Center | Past | Accepting new patients | |
| Shashita Inamdar MD Professional Corporation | Past | Accepting new patients |
Locations
210 Canal St
King City, CA 93930
Phone (931) 385-7100
300 Canal St
King City, CA 93930
Phone (831) 385-6000
1350 Columbia St
Unit 800
San Diego, CA 92101
Phone (619) 244-4420
Interoperability endpoints
- dennis.wood.p1@direct.sokya.nextgenshare.com
- https://fhir4.healow.com/fhir/r4/JDEGCD
Organizations & group practices 5
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.
-
- Psychiatry Physician
- San Diego, CA
- NPI 1366857476
-
- Critical Access Hospital
- King City, CA
- NPI 1114917564
-
- Clinic/Center
- King City, CA
- NPI 1336389600
-
- General Acute Care Hospital
- Coronado, CA
- NPI 1154304475
-
- Psychiatry Physician
- San Diego, CA
- NPI 1902220809
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323734400000",
"number": "1942236716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1050 B AVE",
"address_2": "SUITE B",
"city": "CORONADO",
"state": "CA",
"postal_code": "921183430",
"telephone_number": "619-437-0355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 B AVE",
"address_2": "SUITE B",
"city": "CORONADO",
"state": "CA",
"postal_code": "921183430",
"telephone_number": "619-437-0355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOD",
"first_name": "DENNIS",
"middle_name": "PATRICK",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-24",
"last_updated": "2011-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY 19293",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coronado, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.