Active NPI
Wolff Clinical Group PLLC
- Counseling Psychologist
- Oak Park, IL
National Provider Identifier
1053059469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- Legal business name
- WOLFF CLINICAL GROUP PLLC
- Practice address
- 137 N Oak Park Ave Ste 329
Oak Park, IL 60301-1375 - Phone
- (708) 381-0634
- NPI assigned
- May 25, 2022
- Last updated
- May 25, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kara Wolff, PHD
- Title
- Member
- Phone
- (773) 255-2799
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | Primary |
Addresses
Primary practice location
137 N Oak Park Ave Ste 329
Oak Park, IL 60301-1375
Mailing address
4156 W 21St PL
Chicago, IL 60623-2831
Phone (773) 255-2799
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Psychologist
- Oak Park, IL
- NPI 1659651438
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653436800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1653436800000",
"number": "1053059469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4156 W 21ST PL",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606232831",
"telephone_number": "773-255-2799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "137 N OAK PARK AVE STE 329",
"city": "OAK PARK",
"state": "IL",
"postal_code": "603011375",
"telephone_number": "708-381-0634"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WOLFF CLINICAL GROUP PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-05-25",
"last_updated": "2022-05-25",
"certification_date": "2022-05-25",
"status": "A",
"authorized_official_last_name": "WOLFF",
"authorized_official_first_name": "KARA",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "773-255-2799",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Counseling",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oak Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.