Jay Samuel Woolfstead, M.S.

Primary specialty

CounselorTaxonomy code 101Y00000X

License

MH 0954 Issued in FL

Practice address

10400 Griffin Road
Suite 101
Cooper City, FL 33328

Phone

(954) 436-8326

Fax

(954) 433-0603

NPI assigned

Oct 2, 2006

Last updated

Dec 3, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Networks

• Freedom Health HMO Network

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

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291334400000",
    "number": "1043303621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10400 GRIFFIN ROAD",
            "address_2": "SUITE 101",
            "city": "COOPER CITY",
            "state": "FL",
            "postal_code": "33328",
            "telephone_number": "954-436-8326",
            "fax_number": "954-433-0603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10400 GRIFFIN ROAD",
            "address_2": "SUITE 101",
            "city": "COOPER CITY",
            "state": "FL",
            "postal_code": "33328",
            "telephone_number": "954-436-8326",
            "fax_number": "954-433-0603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOLFSTEAD",
        "first_name": "JAY",
        "middle_name": "SAMUEL",
        "name_prefix": "Mr.",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2010-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "FL",
            "license": "MH 0954",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "Z7101",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William G Malcolm DPM PA
• Karie Annette Williams Soto
• Lynn Williams
• Nathan S Winton, R.R.T.
• Brittany Leigh Wolfe, LCSW
• Osuri Yau, DDS
• Amy Marie York, LCSW
• Zenith Elixium Inc (WellPack Pharmacy Miami)
• Solange Nicole Zerquera
• Zulma Castaneda-Medina DMD PA (Castaneda Orthodontics)

• Counselor in Cooper City, FL
• Providers in Cooper City, FL by specialty
• Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2010; 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.