Active NPI
Wolf Mehlman Psychological Associates LLC
- Psychologist
- Montclair, NJ
National Provider Identifier
1144498114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 3227
- Legal business name
- WOLF MEHLMAN PSYCHOLOGICAL ASSOCIATES LLC
- Practice address
- 31 S Fullerton Ave
Second Floor
Montclair, NJ 07042-3358 - Phone
- (973) 744-4494
- Fax
- (974) 744-4492
- NPI assigned
- Feb 13, 2008
- 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. Amie Beth Wolf, PHD
- Title
- Owner
- Phone
- (973) 744-4494
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 3227 | NJ | Primary |
Addresses
Primary practice location
31 S Fullerton Ave
Second Floor
Montclair, NJ 07042-3358
Mailing address
31 South Fullerton Avenue
Second Floor
Montclair, NJ 07042
Phone (973) 744-4494
National Provider Directory
National Provider DirectoryLocations
31 S Fullerton Ave
Fl Second
Montclair, NJ 07042
Phone (973) 744-4494
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202860800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1202860800000",
"number": "1144498114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 SOUTH FULLERTON AVENUE",
"address_2": "SECOND FLOOR",
"city": "MONTCLAIR",
"state": "NJ",
"postal_code": "07042",
"telephone_number": "973-744-4494",
"fax_number": "974-744-4492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 S FULLERTON AVE",
"address_2": "SECOND FLOOR",
"city": "MONTCLAIR",
"state": "NJ",
"postal_code": "070423358",
"telephone_number": "973-744-4494",
"fax_number": "974-744-4492"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WOLF MEHLMAN PSYCHOLOGICAL ASSOCIATES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-13",
"last_updated": "2008-02-13",
"status": "A",
"authorized_official_last_name": "WOLF",
"authorized_official_first_name": "AMIE",
"authorized_official_middle_name": "BETH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "973-744-4494",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist",
"state": "NJ",
"license": "3227",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Montclair, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.