Harvey M. Wolf, Psy.D., CSC, P.C.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

HARVEY M. WOLF, PSY.D., CSC, P.C.

Practice address

115 S Wilke Rd
Suite 300
Arlington HTS, IL 60005-1532

Phone

(847) 259-2020

Fax

(847) 259-2078

NPI assigned

Oct 23, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Harvey M Wolf, PSY.D.NPI 1639252612

Title

President

Phone

(847) 259-2020

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 6

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.

• Harvey M. Wolf, PSY.D.

  • Clinical Psychologist
  • Arlington HTS, IL
  • NPI 1639252612
  Medicare reassignment NPD Authorized official
• Elizabeth M Bolash, PSY.D.

  • Clinical Psychologist
  • Arlington Heights, IL
  • NPI 1841239043
  NPD (past)
• Karen Rambo Chroniak, PHD

  • Psychologist
  • Chicago, IL
  • NPI 1194813139
  NPD (past)
• Bonnie Joyce Koss, LCSW

  • Clinical Social Worker
  • Arlington Heights, IL
  • NPI 1548394281
  NPD (past)
• Cecile M Petermann, LPC

  • Professional Counselor
  • Arlington HTS, IL
  • NPI 1144466228
  NPD (past)
• Anne G. Walker, LCSW

  • Clinical Social Worker
  • Palatine, IL
  • NPI 1043293293
  NPD (past)

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053494062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 S WILKE RD",
            "address_2": "SUITE 300",
            "city": "ARLINGTON HTS",
            "state": "IL",
            "postal_code": "600051532",
            "telephone_number": "847-259-2020",
            "fax_number": "847-259-2078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 S WILKE RD",
            "address_2": "SUITE 300",
            "city": "ARLINGTON HTS",
            "state": "IL",
            "postal_code": "600051532",
            "telephone_number": "847-259-2020",
            "fax_number": "847-259-2078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARVEY M. WOLF, PSY.D., CSC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WOLF",
        "authorized_official_first_name": "HARVEY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-259-2020",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Arlington HTS, IL
• Providers in Arlington HTS, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.

Verify at the official NPI Registry.