Healthcare Provider Details

I. General information

NPI: 1235552225
Provider Name (Legal Business Name): ROBINSON-WOOD APPLIED PSYCHOLOGY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/27/2014
Last Update Date: 06/20/2024
Certification Date: 06/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

182 WINDMILL RD
CAMPTON NH
03223-4336
US

IV. Provider business mailing address

182 WINDMILL RD
CAMPTON NH
03223-4336
US

V. Phone/Fax

Practice location:
  • Phone: 603-536-1902
  • Fax: 603-536-1902
Mailing address:
  • Phone: 603-536-1902
  • Fax: 603-536-1902

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number902
License Number StateNH
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number1187
License Number StateNH
# 3
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number1187
License Number StateNH
# 4
Primary TaxonomyY
Taxonomy Code103TP0814X
TaxonomyPsychoanalysis Psychologist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code103TP2701X
TaxonomyGroup Psychotherapy Psychologist
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: DR. GEOFFREY ALAN ROBINSON-WOOD
Title or Position: MANAGER/OWNER
Credential: PSY.D.
Phone: 603-536-1902