Active NPI
Kelli Woodson, PSYD
- Clinical Psychologist
- Peterborough, NH
National Provider Identifier
1992376198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6870
- Practice address
- 45 Main St
Peterborough, NH 03458-2433 - Phone
- (603) 614-5324
- NPI assigned
- Jul 8, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6870 | NH | Primary |
Addresses
Primary practice location
45 Main St
Peterborough, NH 03458-2433
Mailing address
45 Main St
Peterborough, NH 03458-2433
Phone (603) 614-5324
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734480000000",
"number": "1992376198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 MAIN ST",
"city": "PETERBOROUGH",
"state": "NH",
"postal_code": "034582433",
"telephone_number": "603-614-5324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 MAIN ST",
"city": "PETERBOROUGH",
"state": "NH",
"postal_code": "034582433",
"telephone_number": "603-614-5324"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODSON",
"first_name": "KELLI",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-08",
"last_updated": "2024-12-18",
"certification_date": "2024-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NH",
"license": "6870",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Peterborough, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.