Individual provider Active NPI

Dennis Patrick Wood, PHD

  • Psychologist
  • Coronado, CA
National Provider Identifier
1942236716
Registry record updated Dec 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY 19293 Issued in CA
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

Updated by the provider on Dec 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040309001497 CA Practitioner - Clinical Psychologist 6608764717 Reassigns benefits to 2 organizations
Practice locations: Coronado, CA

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
Robert Zalewski-Zaragoza MD IncGroup PAC ID 6507084191, 10 clinicians

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

LicenseStateTypeSpecialty
PSY 19293CAMDPsychologist
19293CAMDNeonatal/Pediatric Certified Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Monterey County Memorial Hospital CurrentSince Jun 22, 2019 Accepting new patients
Southern Monterey County Memorial Hospital CurrentSince Jun 22, 2019 Accepting new patients
Robert Zalewski-Zaragoza, MD, Inc CurrentSince Aug 8, 2023 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

  • Direct secure messaging: dennis.wood.p1@direct.sokya.nextgenshare.com
  • FHIR API: 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.

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

Verify at the official NPI Registry.