Patricia Anne Wood, MMH, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

4101006260 Issued in MI

Practice address

222 Shelden Ave
Suite #2
Houghton, MI 49931-2134

Phone

(906) 482-5598

Fax

(906) 482-5598

NPI assigned

Feb 21, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972648376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 704",
            "city": "HOUGHTON",
            "state": "MI",
            "postal_code": "499310704",
            "telephone_number": "906-482-5598",
            "fax_number": "906-482-5598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 SHELDEN AVE",
            "address_2": "SUITE #2",
            "city": "HOUGHTON",
            "state": "MI",
            "postal_code": "499312134",
            "telephone_number": "906-482-5598",
            "fax_number": "906-482-5598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "PATRICIA",
        "middle_name": "ANNE",
        "credential": "MMH, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MI",
            "license": "4101006260",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "M14416",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EIN",
            "identifier": "20814292",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• R. Scott Webb, PH.D.
• Mary Louise Weed, LLMSW
• William Wertenberger, MS/OTR
• Western Upper Peninsula Substance Abuse Services Coordinating Agency
• Donald Steven Williams, L.M.S.W.
• Kathleen Yentz
• Cassie Marie Young, MS

• Marriage & Family Therapist in Houghton, MI
• Providers in Houghton, MI by specialty
• Marriage & Family Therapist in Michigan

• 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.