Healthcare Provider Details

I. General information

NPI: 1790730901
Provider Name (Legal Business Name): WOODS PSYCHOTHERAPY SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/24/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 STRAUBE CENTER BLVD. BOX H-1
PENNINGTON NJ
08534
US

IV. Provider business mailing address

100 STRAUBE CENTER BLVD. BOX H-1
PENNINGTON NJ
08534
US

V. Phone/Fax

Practice location:
  • Phone: 609-737-7797
  • Fax: 609-737-7499
Mailing address:
  • Phone: 609-737-7797
  • Fax: 609-737-7499

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. JONATHAN WOODS
Title or Position: DIRECTOR
Credential: LCSW
Phone: 609-737-7797