Susan Wolf, PH.D.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

03585 Issued in NJ

Practice address

1101 N Kings Hwy
Suite 304
Cherry Hill, NJ 08034-1912

Phone

(856) 482-7023

NPI assigned

Aug 26, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NJ

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

Specialty

Clinical Psychologist

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1125014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321401600000",
    "number": "1033102892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 GARDEN STATE DR",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080021915",
            "telephone_number": "856-482-7023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 N KINGS HWY",
            "address_2": "SUITE 304",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080341912",
            "telephone_number": "856-482-7023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLF",
        "first_name": "SUSAN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-26",
        "last_updated": "2011-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NJ",
            "license": "03585",
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PA",
            "license": "PS-006490-L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PBH",
            "identifier": "133",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN",
            "identifier": "153300",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erica Kate Wojcik, MA, LAC
• Stacey Wojculewski, PT
• Barry A Wolf, OTR/L
• Caroline Martin Wolf, LCSW
• Kristen Wolf, PT, DPT
• Wolfe-Simon Medical Associates PA
• Anna Lisa Wolfe, MOT OTR/L
• Ryan Wolff, PT, DPT
• Irit Wollman, MA CCC-SLP
• Evelyn C Wolynies, MSN, APNBC

• Counseling Psychologist in Cherry Hill, NJ
• Providers in Cherry Hill, NJ by specialty
• Counseling Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.