Jessica Rose Wood, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2010003030 Issued in MO

Practice address

1010 Remington PLZ
Raymore, MO 64083-8640

Phone

(888) 403-1071

NPI assigned

Dec 15, 2008

Last updated

Nov 18, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jessica Rose Grenz Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1229299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605657600000",
    "number": "1982849329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 COMMUNITY",
            "city": "CLINTON",
            "state": "MO",
            "postal_code": "647358804",
            "telephone_number": "660-885-8131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 REMINGTON PLZ",
            "city": "RAYMORE",
            "state": "MO",
            "postal_code": "640838640",
            "telephone_number": "888-403-1071"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1126 E Highway Ww",
            "address_purpose": "LOCATION",
            "city": "Marshall",
            "state": "MO",
            "postal_code": "653404641",
            "country_code": "US",
            "telephone_number": "660-886-2253",
            "fax_number": "660-886-6601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOOD",
        "first_name": "JESSICA",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-15",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "2010003030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "GRENZ",
            "middle_name": "ROSE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kathleen McKenzie Wilhelmus
• Traci Williams, LPCC
• Emilia Elizabeth Wilson, FNP-C
• Kyle William Wilson, LP
• James Houston Withers III, LPC
• Christopher Worth, LCSW
• Susan Wulff, LPC
• Soo Tong Yap, RPH
• Dalton Young
• Ershan Yu

• Clinical Psychologist in Raymore, MO
• Providers in Raymore, MO by specialty
• Clinical Psychologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2020; 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.