Active NPI
Carol Wood Brooks, PHD
- Clinical Psychologist
- Prescott, AZ
National Provider Identifier
1992983803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6851359-2501
- Practice address
- 500 N US Highway 89
Northern Arizona VA HCS
Prescott, AZ 86313 - Phone
- (928) 445-4860
- Fax
- (928) 776-6054
- NPI assigned
- Feb 1, 2008
- Sex
- Male
- 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 | 6851359-2501 | UT | Primary |
Addresses
Primary practice location
500 N US Highway 89
Northern Arizona VA HCS
Prescott, AZ 86313
Mailing address
500 N. US Highway 89
Northern Arizona VA HCS (Navahcs)
Prescott, AZ 86313
Phone (928) 445-4860
Other names 1
- Carol S Wood
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6851359-2501 | UT | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438905600000",
"number": "1992983803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 N. US HIGHWAY 89",
"address_2": "NORTHERN ARIZONA VA HCS (NAVAHCS)",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "86313",
"telephone_number": "928-445-4860",
"fax_number": "928-776-6054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 N US HIGHWAY 89",
"address_2": "NORTHERN ARIZONA VA HCS",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "86313",
"telephone_number": "928-445-4860",
"fax_number": "928-776-6054"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOKS",
"first_name": "CAROL",
"middle_name": "WOOD",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-02-01",
"last_updated": "2015-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "UT",
"license": "6851359-2501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CAROL",
"last_name": "WOOD",
"middle_name": "S",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Prescott, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.