DR. SALLY MEDORA WOOD


Address: 604 3rd St, Davis, CA 95616-4553
Phone: 5307568754

DR. SALLY MEDORA WOOD (NPI# 1578528386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578528386
Entity Type Individual
Full Name DR. SALLY MEDORA WOOD
Credential PH.D.
Practice Address 604 3rd St
Davis
CA 95616-4553
Practice Telephone 5307568754
Practice Fax Number 5302970766
Mailing Telephone 5307568754
Mailing Fax Number 5302970766
Enumeration Date 2006-04-18
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist PSY 10277 CA Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA MANAGED HEALTH NETWORK 0001010300 01
CA PACIFICARE 7290-01 01
CA BLUE SHIELD OF CALIFORNIA OPL102770 01
CA UNITED HEALTHCARE SERVICE 61-73217 01
CA HUMAN AFFAIRS INTERNATION 680307290T4B2AU 01
CA VALUE OPTIONS A792509 01

Other Providers SALLY WOOD

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1457757056 Sally Edwards Wood Registered Nurse 237 Newland Cir, Evans, GA 30809-6687 2014-11-08
1659520856 Sally A. Wood Licensed Practical Nurse 2425 Killian Rd, Corfu, NY 14036-9643 2008-09-11
1518226877 Sally Wood Internal Medicine 118 Knox Way, Chapel Hill, NC 27517-6080 2012-05-08

Office Location

Street Address 604 3RD ST
City DAVIS
State CA
Zip Code 95616-4553

Providers in the same location

NPI Name Taxonomy Address Enumeration
1346486305 Erica Wright Marriage & Family Therapist 604 3rd St, Davis, CA 95616-4553 2008-12-22
1568507572 Jan Chess Counselor 604 3rd St, Davis, CA 95616-4553 2007-02-20
1568500312 Ann-catrin B Van Psychologist 604 3rd St, Davis, CA 95616-4553 2007-02-02
1881602258 James Daniel Meinert Dentist 604 3rd St, Davis, CA 95616 2006-08-03
1023033875 Cathy G Neuhauser Psychologist 604 3rd St, Davis, CA 95616-4553 2006-07-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417560871 Anne-frances Ostrander Physical Therapy Assistant 397 La Rue Rd, Davis, CA 95616 2020-08-26
1487271458 Alix Peloso Mahon Behavior Technician 1212 Alvarado Ave Apt 68, Davis, CA 95616 2020-06-25
1427671882 Dhhs Ihs Cao Sacred Oaks Healing Center Substance Abuse Rehabilitation Facility 33100 County Road 31, Davis, CA 95616 2020-05-20
1871126961 Linda Marie Adams Dietitian, Registered Uc Davis Occupational Health, One Shields Ave - Cowell Hall Room 35, Davis, CA 95616 2020-02-17
1851935217 Timothy James Johnston Orthotist 635 Anderson Rd., Suite 18, Davis, CA 95616 2019-10-29
1386290716 Dakota Cool Specialist/Technologist 750 Orchard Road, Davis, CA 95616 2019-08-12
1366908618 Capitol Periodontal Group Dentist 750 F Street #5, Davis, CA 95616 2019-02-12
1831663434 Elisha Niccole Cusumano Specialist/Technologist 264 Hickey Gym, 1 Shields Ave, Davis, CA 95616 2019-01-16
1609364991 Aron Matthew Katz Psychologist One Shield Ave, Student Health & Wellness Center, Bhp, Davis, CA 95616 2018-04-23
1316463938 Arielle Pinkston Marriage & Family Therapist 203 F St, Davis, CA 95616 2017-08-15
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Notes: Source: American Psychological Association [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1548541873 Neurobehavioral Programs, Incorporated Psychologist 2659 Portage Bay E Apt 204, Davis, CA 95616-3050 2011-08-31
1427216167 Counseling & Psychological Services Psychologist 219 North Hall, Davis, CA 95616 2008-05-29
1417115114 Bai-yin Chen Psychologist One Shields Ave, Counseling and Psychological Services 219 North Hall, Davis, CA 95616-8568 2008-05-29
1346421831 Emily Katonah Hartley Psychologist Caps 219 North Hall, University of California, Davis, Davis, CA 95616 2007-11-26
1285829820 Cassandra Marie Majestic Psychologist 132 E St Ste 320, Davis, CA 95616-4796 2007-09-06
1295851392 Trudy Maria Baltz Psychologist 1621 Oak Ave Ste B, Davis, CA 95616-1000 2007-03-21
1902935034 Dana Simon Paskowitz Psychologist 102 E St, Davis, CA 95616-4633 2007-03-05
1932255379 Laura Lynn Mansouri Psychologist 1260 Lake Blvd Ste 217, Davis, CA 95616-5667 2007-01-26
1275549271 Joseph M Spector Psychologist 2050 Lyndell Terr, Suite 130, Davis, CA 95616-6205 2006-07-31
1871561142 Beth Amy Cohen Psychologist 112 A St, Davis, CA 95616-4608 2006-03-10
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Competitor

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City DAVIS
Zip Code 95616

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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