Individual provider Active NPI

Anthony B Wolff, PHD, LP

  • Psychologist
  • Arnold, MD
National Provider Identifier
1164413464
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
01667 Issued in MD
Practice address
1509 Ritchie Hwy
Suite F
Arnold, MD 21012-2742
Phone
(410) 757-2077
Fax
(410) 757-5184
NPI assigned
Nov 4, 2005
Last updated
Nov 7, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 01667 MD Primary

Addresses

Primary practice location

1509 Ritchie Hwy
Suite F
Arnold, MD 21012-2742

Mailing address

1509 Ritchie Hwy
Suite F
Arnold, MD 21012-2742
Phone (410) 757-2077

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110524000663 MD Practitioner - Clinical Psychologist 1759300643 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Arundel Mental Health Professionals LCGroup PAC ID 4981688173, 118 clinicians

Practice addresses (Care Compare)

8133 Elliott Rd
Suite 236a
Easton, MD 21601-2932
Phone (443) 906-3506

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
01667MDMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Arundel Mental Health Professionals L.C. CurrentSince May 29, 2001 Accepting new patients
Arundel Mental Health Professionals LLC CurrentSince Jul 31, 2022 Accepting new patients
Arundel Mental Health Professionals LLC PastSince Jul 31, 2022 Accepting new patients
Arundel Mental Health Professionals LLC PastSince Jul 31, 2022 Accepting new patients
Arundel Mental Health Professionals LLC PastSince Jul 31, 2022 Accepting new patients

Locations

810 Bestgate Rd
Ste 325
Annapolis, MD 21401
Phone (443) 906-3500

1509 Ritchie Hwy
Ste F
Arnold, MD 21012

1511 Ritchie Hwy
Ste 202
Arnold, MD 21012
Phone (410) 757-5184

2650 Quarry Lake Dr
Ste 200
Baltimore, MD 21209

1662 Village Grn
Crofton, MD 21114
Phone 41075720776157

1662 Village Grn
#B
Crofton, MD 21114

1662 Village Grn
Ste 100
Crofton, MD 21114

8133 Elliott Rd
Ste 236A
Easton, MD 21601
Phone (443) 906-3506

8258 Veterans Hwy
Ste 13
Millersville, MD 21108
Phone (410) 768-6088

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1131062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1164413464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 RITCHIE HWY",
            "address_2": "SUITE F",
            "city": "ARNOLD",
            "state": "MD",
            "postal_code": "210122742",
            "telephone_number": "410-757-2077",
            "fax_number": "410-757-5184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 RITCHIE HWY",
            "address_2": "SUITE F",
            "city": "ARNOLD",
            "state": "MD",
            "postal_code": "210122742",
            "telephone_number": "410-757-2077",
            "fax_number": "410-757-5184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFF",
        "first_name": "ANTHONY",
        "middle_name": "B",
        "credential": "PHD,  LP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-04",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MD",
            "license": "01667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arnold, MD

Sources for this page

Verify at the official NPI Registry.