1700081650 NPI number — DR. TRACY LYNN ROBINSON-WOOD LMHC

Table of content: KELLEY SUZANNE CLAIR MONTES LMFT (NPI 1073758991)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1700081650 NPI number — DR. TRACY LYNN ROBINSON-WOOD LMHC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ROBINSON-WOOD
Provider First Name:
TRACY
Provider Middle Name:
LYNN
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
LMHC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
ROBINSON
Provider Other First Name:
TRACY
Provider Other Middle Name:
L.
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
ED.D.
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1700081650
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/15/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
ROBINSON-WOOD CENTER FOR APPLIED PSYCH
Provider Second Line Business Mailing Address:
182 WINDMILL ROAD
Provider Business Mailing Address City Name:
CAMPTON
Provider Business Mailing Address State Name:
NH
Provider Business Mailing Address Postal Code:
03223-4336
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
603-536-1902
Provider Business Mailing Address Fax Number:
603-536-1404

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
ROBINSON-WOOD CENTER FOR APPLIED PSYCH
Provider Second Line Business Practice Location Address:
182 WINDMILL ROAD
Provider Business Practice Location Address City Name:
CAMPTON
Provider Business Practice Location Address State Name:
NH
Provider Business Practice Location Address Postal Code:
03223-4336
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
603-536-1902
Provider Business Practice Location Address Fax Number:
603-536-1404
Provider Enumeration Date:
06/20/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101Y00000X , with the licence number:  902 , registered in the state of NH ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 101YA0400X , with the licence number: 902 , registered in the state of NH ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 101YM0800X , with the licence number: 902 , registered in the state of NH ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 101YP2500X , with the licence number: 902 , registered in the state of NH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 3096346 , issued by the state of ( NH ) . This identifiers is of the category "MEDICAID".