MR. ROGER JUSTIN WOOD (NPI# 1366595332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366595332 |
| Entity Type | Individual |
| Full Name | MR. ROGER JUSTIN WOOD |
| Credential | MFT |
| Practice Address |
3424 E 4th St Long Beach CA 90814 |
| Mailing Address |
3424 E 4th St Long Beach CA 90814-1557 |
| Practice Telephone | 7144254050 |
| Mailing Telephone | 7144254050 |
| Enumeration Date | 2007-01-20 |
| Last Update Date | 2018-10-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | MFT12012 | CA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3408 E Broadway, Suite A, Long Beach, CA 908035907 | 7144254050 | 5624335298 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316557325 | Roger Wesley Wood | Pharmacist | 274 Reservoir Dr, Lewiston, ID 83501-9637 | 2020-08-04 |
| 1457579021 | Roger W Wood | Technician | 4082 122nd St, Meriden, KS 66512-8720 | 2007-04-21 |
| 1770637563 | Roger Enoch Wood | Dentist | 11601 Robious Road, Suite 130, Midlothian, VA 23113 | 2007-01-22 |
| 1972563211 | Roger Allen Wood | Internal Medicine | 9000 N Main St Ste G-36, Englewood, OH 45415-1183 | 2006-03-23 |
| Street Address |
3424 E 4TH ST |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255769022 | Gregory S Corbin | Marriage & Family Therapist | 3424 E 4th St, Long Beach, CA 90814-1557 | 2013-10-14 |
| 1265780449 | Virginia Lillian Durivage | Social Worker | 3424 E 4th St, Long Beach, CA 90814-1557 | 2012-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164797056 | Recovery At Sea | Community/Behavioral Health | 2345 East 4th Street, Long Beach, CA 90814 | 2012-03-12 |
| 1982869616 | James R Gaither Jr. | Rehabilitation Practitioner | 2017 E 4th Street, Long Beach, CA 90814 | 2008-07-22 |
| 1760676274 | Charles Edward Criddle | Chiropractor | 352 Newport Ave, Long Beach, CA 90814 | 2007-08-29 |
| 1891911459 | Ting-wey Yen | Dentist | 319 Redondo Ave., Long Beach, CA 90814 | 2007-04-18 |
| 1194850495 | Donna Marie Camagay Calima | Dentist | 389 Redondo Ave, Long Beach, CA 90814 | 2007-02-23 |
| 1467558338 | Rudy Steven Mendoza | Dentist | 392 Redondo Ave, Long Beach, CA 90814 | 2006-09-16 |
| 1578670766 | Seany Renfrow | Psychologist | 5170 Colorado, Long Beach, CA 90814 | 2006-08-24 |
| 1245210368 | Johnny L Triplett | Anesthesiology | 4674 East Barker Way, Long Beach, CA 90814 | 2006-01-17 |
| 1992960371 | Maria Veronica Uvero Racelis | Rehabilitation Practitioner | 2017 E 4th Street, Long Beach, CA 90814 | 2008-07-24 |
| 1639334360 | Ismael Morales | Rehabilitation Practitioner | 2017 E 4th Street, Long Beach, CA 90814 | 2008-07-22 |
| Find all providers in zip 90814 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427664002 | Christopher Joseph Bauss | Marriage & Family Therapist | 521 Ultimo Ave, Long Beach, CA 90814-2046 | 2020-09-19 |
| 1487268876 | Tiffany Amber Hooton | Marriage & Family Therapist | 4510 E Pacific Coast Hwy Ste 540, Long Beach, CA 90804-6941 | 2020-09-02 |
| 1144845306 | Sara Povey | Marriage & Family Therapist | 1635 E Ocean Blvd Unit 3a, Long Beach, CA 90802-6041 | 2020-06-13 |
| 1649890955 | Lori Lynn Mann | Marriage & Family Therapist | 6695 E Pacific Coast Hwy Ste 250, Long Beach, CA 90803-4256 | 2020-04-16 |
| 1528606191 | Joseph Buchman | Marriage & Family Therapist | 3950 Long Beach Blvd Ste 101, Long Beach, CA 90807-5410 | 2019-12-13 |
| 1952944951 | April Dawn Malden | Marriage & Family Therapist | 3412 N Greenbrier Rd, Long Beach, CA 90808-2515 | 2019-10-22 |
| 1639729817 | Valetta Melanie Kirchner | Marriage & Family Therapist | 1057 Belmont Ave Apt B, Long Beach, CA 90804-4225 | 2019-09-18 |
| 1639727209 | Fairy Shaw | Marriage & Family Therapist | 4700 Clair Del Ave Apt 545, Long Beach, CA 90807-1329 | 2019-08-28 |
| 1184271496 | Aline Inocencio | Marriage & Family Therapist | 555 E Ocean Blvd Ste 638, Long Beach, CA 90802-5077 | 2019-08-21 |
| 1366003600 | Meredith Anne Freijo | Marriage & Family Therapist | 4401 Atlantic Ave Ste 430, Long Beach, CA 90807-2240 | 2019-06-26 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90814 |
Please comment or provide details below to improve the information on MR. ROGER JUSTIN WOOD.
| 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.