Active NPI
Cynthia Wulff, LMFT
- Marriage & Family Therapist
- Daphne, AL
National Provider Identifier
1134596208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 379
- Practice address
- 27625 US Highway 98
Building a
Daphne, AL 36526-4816 - Phone
- (251) 626-7959
- Fax
- (251) 626-6122
- NPI assigned
- Aug 25, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 379 | AL | Primary |
Addresses
Primary practice location
27625 US Highway 98
Building a
Daphne, AL 36526-4816
Mailing address
27625 US Highway 98
Building a
Daphne, AL 36526-4816
Phone (251) 626-7959
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 379 | AL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440460800000",
"number": "1134596208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27625 US HIGHWAY 98",
"address_2": "BUILDING A",
"city": "DAPHNE",
"state": "AL",
"postal_code": "365264816",
"telephone_number": "251-626-7959",
"fax_number": "251-626-6122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27625 US HIGHWAY 98",
"address_2": "BUILDING A",
"city": "DAPHNE",
"state": "AL",
"postal_code": "365264816",
"telephone_number": "251-626-7959",
"fax_number": "251-626-6122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WULFF",
"first_name": "CYNTHIA",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-08-25",
"last_updated": "2015-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "AL",
"license": "379",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Daphne, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.