Active NPI
Shelley Lynette Wolfe, PH. D
- Psychologist
- SJ, PR
National Provider Identifier
1073723177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 4520
- Practice address
- 207 Del Parque St. 9TH Floor
SJ, PR 00912 - Phone
- (877) 342-4522
- NPI assigned
- May 23, 2007
- Last updated
- May 8, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 005424 | NM | |
| Psychologist | 103T00000X | 4520 | AZ | Primary |
Addresses
Primary practice location
207 Del Parque St. 9TH Floor
SJ, PR 00912
Mailing address
10182 E. Paseo Juan Tabo
Tucson, AZ 85747
Phone (928) 322-7462
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005424 | NM | MD | Mental Health Counselor |
| 4520 | AZ | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557273600000",
"number": "1073723177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10182 E. PASEO JUAN TABO",
"city": "TUCSON",
"state": "AZ",
"postal_code": "85747",
"telephone_number": "928-322-7462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 DEL PARQUE ST. 9TH FLOOR",
"city": "SJ",
"state": "PR",
"postal_code": "00912",
"telephone_number": "877-342-4522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLFE",
"first_name": "SHELLEY",
"middle_name": "LYNETTE",
"name_prefix": "Dr.",
"credential": "PH. D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-23",
"last_updated": "2019-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NM",
"license": "005424",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "AZ",
"license": "4520",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in SJ, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.