Lisa Elaine Wolf, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY 16388 Issued in CA

Practice address

15910 Ventura Blvd
Suite 1017
Encino, CA 91436-2802

Phone

(818) 386-6700

Fax

(818) 386-6744

NPI assigned

Jun 11, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033313531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16951 W SUNSET BLVD",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902723208",
            "telephone_number": "310-569-9792",
            "fax_number": "310-459-5926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15910 VENTURA BLVD",
            "address_2": "SUITE 1017",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362802",
            "telephone_number": "818-386-6700",
            "fax_number": "818-386-6744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLF",
        "first_name": "LISA",
        "middle_name": "ELAINE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 16388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wisdom Center Foundation
• Breanna Wise
• Jan Renee Witkoski-Fields, PSY.D.
• Wizard of Eyes Optical
• Brian Wohlmuth, M.A.
• Elizabeth Wolfe, DDS
• Lawrence Alan Wolff, DDS
• Patrick Joseph Wolff, DDS
• Rebecka Wolowitsch
• Emma Catherine Wong, PT, DPT

• Clinical Psychologist in Encino, CA
• Providers in Encino, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.