MARIE W. WOOD PHD INC
NPI 1003438086
Psychologist in Fayetteville, AR

Active since May 12, 2020
215 N EAST AVE, FAYETTEVILLE, AR 72701(479) 521-9696 Get Directions Write a Review

NPPES record last updated: May 12, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Marie W. Wood Phd Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARIE W. WOOD PHD INC (NPI 1003438086) is a healthcare organization registered as a psychologist in Fayetteville, Arkansas and active in the NPI registry since May 2020. The organization lists Terry Borman, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1003438086
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameMARIE W. WOOD PHD INC
Location Address215 N EAST AVEFayetteville, AR 72701-5296
Mailing AddressPo Box 4808Fayetteville, AR 72702-4808 · (479) 236-3221
Organization SubpartNo
Authorized OfficialTerry BormanBilling Manager · (479) 236-3221
Enumeration DateMay 12, 2020
NPPES CertifiedMay 12, 2020
✔ NPI 1003438086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
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.
215 N EAST AVE, Fayetteville, AR 72701

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marie W. Wood Phd Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Marie W. Wood Phd Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Psychologist
NPI 1942257563
215 N EAST AVE
Fayetteville, AR 72701
(479) 521-9696
✔ PECOS✔ Accepts Medicare20 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marie W. Wood Phd Inc's NPI number?

The NPI number for Marie W. Wood Phd Inc is 1003438086. It was assigned to this organization in the NPPES registry on May 12, 2020.

Where is Marie W. Wood Phd Inc located?

Marie W. Wood Phd Inc is located at 215 N East Ave, Fayetteville, AR 72701. The listed phone number is (479) 521-9696.

What is Marie W. Wood Phd Inc's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Marie W. Wood Phd Inc enrolled in Medicare?

Yes. Marie W. Wood Phd Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Marie W. Wood Phd Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Marie W. Wood Phd Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Marie W. Wood Phd Inc was last updated on May 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.