Individual provider Active NPI

Cortney B Wolfe-Christensen, PHD

  • Clinical Child & Adolescent Psychologist
  • Fort Worth, TX
National Provider Identifier
1003065483
Registry record updated Apr 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
37538 Issued in TX
Practice address
750 8TH Ave FL 6
Fort Worth, TX 76104-2515
Phone
(682) 303-0376
Fax
(682) 303-0377
NPI assigned
Sep 10, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X 6301014400 MI
Clinical Child & Adolescent Psychologist 103TC2200X 37538 TX Primary

Addresses

Primary practice location

750 8TH Ave FL 6
Fort Worth, TX 76104-2515

Mailing address

PO Box 99213
Fort Worth, TX 76199-0213
Phone (682) 885-1860

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address cwolfechristensen17918@CookChildrens.direct-ci.com
Direct Messaging Address cwolfechristensen17918@CookChildrens.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250305004271 TX Practitioner - Clinical Psychologist 7719160704 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6301014400MIMDClinical Child & Adolescent Psychologist
37538TXMDClinical Child & Adolescent Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cook Children'S Medical Center CurrentSince Jan 16, 2025 Accepting new patients
Cook Children'S Medical Center CurrentSince Jan 16, 2025 Accepting new patients
Cook Children'S Medical Center Clinical Child & Adolescent Current Accepting new patients

Locations

1500 Cooper St
Ft Worth, TX 76104
Phone (682) 885-2500

Interoperability endpoints

  • Direct secure messaging: cwolfechristensen17918@cookchildrens.direct-ci.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1221004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618358400000",
    "number": "1003065483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 99213",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761990213",
            "telephone_number": "682-885-1860",
            "fax_number": "682-885-1396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 8TH AVE FL 6",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042515",
            "telephone_number": "682-303-0376",
            "fax_number": "682-303-0377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFE-CHRISTENSEN",
        "first_name": "CORTNEY",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-10",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "MI",
            "license": "6301014400",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "TX",
            "license": "37538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cwolfechristensen17918@CookChildrens.direct-ci.com",
            "affiliation": "N",
            "address_1": "3901 Beaubien St",
            "address_2": "3RD FLOOR CARLS BLDG - DEPT OF UROLOGY",
            "city": "Detroit",
            "state": "MI",
            "country_code": "US",
            "postal_code": "482012119",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cwolfechristensen17918@CookChildrens.direct-ci.com",
            "affiliation": "N",
            "address_1": "750 8th Ave Fl 6",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761042515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.