Active NPI
Elizabeth Trent Wolf, PSY.D.
- Psychologist
- Fort Collins, CO
National Provider Identifier
1164828315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 116 E Oak St
Fort Collins, CO 80524-2825 - Phone
- (970) 232-0740
- NPI assigned
- Nov 17, 2014
- Last updated
- Jul 29, 2024
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | NU | Primary | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | NU |
Addresses
Primary practice location
116 E Oak St
Fort Collins, CO 80524-2825
Mailing address
116 E Oak St
Fort Collins, CO 80524-2825
Other practice location 1
1300 N 17th Ave
Greeley, CO 80631-9584
Phone (970) 347-2120
Other practice location 2
608 E Harmony Rd
Fort Collins, CO 80525-3210
Phone (970) 282-4428
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| La Cocina | Current | Accepting new patients | |
| La Cocina | Past | Accepting new patients |
Locations
116 E Oak St
Fort Collins, CO 80524
Phone (970) 232-0740
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Denver, CO
- NPI 1346097664
-
- Community/Behavioral Health Agency
- Fort Collins, CO
- NPI 1811554272
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722211200000",
"number": "1164828315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 E OAK ST",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805242825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 E OAK ST",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805242825",
"telephone_number": "970-232-0740"
}
],
"practiceLocations": [
{
"address_1": "1300 N 17th Ave",
"address_purpose": "LOCATION",
"city": "Greeley",
"state": "CO",
"postal_code": "806319584",
"country_code": "US",
"telephone_number": "970-347-2120",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "608 E Harmony Rd",
"address_purpose": "LOCATION",
"city": "Fort Collins",
"state": "CO",
"postal_code": "805253210",
"country_code": "US",
"telephone_number": "970-282-4428",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WOLF",
"first_name": "ELIZABETH",
"middle_name": "TRENT",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-11-17",
"last_updated": "2024-07-29",
"certification_date": "2024-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.