Individual provider Active NPI

Judy Woods, PHD

  • Psychologist
  • Winona, MN
National Provider Identifier
1992937288
Registry record updated Nov 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
LP5563 Issued in MN
Practice address
50 W 2ND St Ste 101
Winona, MN 55987-3440
Phone
(507) 450-7104
NPI assigned
Aug 20, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X
Psychologist 103T00000X LP5563 MN Primary

Addresses

Primary practice location

50 W 2ND St Ste 101
Winona, MN 55987-3440

Mailing address

45115 Laura LN
Rushford, MN 55971-5215
Phone (507) 450-7104

Other practice location 1

420 E Sarnia St
Winona, MN 55987-6365
Phone (507) 450-7104

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20130608000196 MN Practitioner - Clinical Psychologist 8426296112 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
LP5563MNMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Partners in Excellence Inc Past Accepting new patients

Organizations & group practices 2

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": "1250726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572652800000",
    "number": "1992937288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45115 LAURA LN",
            "city": "RUSHFORD",
            "state": "MN",
            "postal_code": "559715215",
            "telephone_number": "507-450-7104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 W 2ND ST STE 101",
            "city": "WINONA",
            "state": "MN",
            "postal_code": "559873440",
            "telephone_number": "507-450-7104"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 E Sarnia St",
            "address_purpose": "LOCATION",
            "city": "Winona",
            "state": "MN",
            "postal_code": "559876365",
            "country_code": "US",
            "telephone_number": "507-450-7104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOODS",
        "first_name": "JUDY",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-20",
        "last_updated": "2019-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP5563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winona, MN

Sources for this page

Verify at the official NPI Registry.