Provider Demographics
NPI:1841243854
Name:WOODS PSYCHOTHERAPY SERVICES, LLC
Entity Type:Organization
Organization Name:WOODS PSYCHOTHERAPY SERVICES, LLC
Other - Org Name:COMPREHENSIVE MENTAL HEALTH SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:WOODS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:609-737-7797
Mailing Address - Street 1:100 STRAUBE CENTER BLVD
Mailing Address - Street 2:BOX H-1
Mailing Address - City:PENNINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08534-1447
Mailing Address - Country:US
Mailing Address - Phone:609-737-7797
Mailing Address - Fax:609-737-7499
Practice Address - Street 1:100 STRAUBE CENTER BLVD
Practice Address - Street 2:BOX H-1
Practice Address - City:PENNINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08534-1447
Practice Address - Country:US
Practice Address - Phone:609-737-7797
Practice Address - Fax:609-737-7499
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC002761001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJWO618427Medicare ID - Type Unspecified