Wolf Psychological Services LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

WOLF PSYCHOLOGICAL SERVICES LLC

Practice address

3270 Suntree Blvd Ste 127
Melbourne, FL 32940-7522

Phone

(321) 372-8608

NPI assigned

Apr 8, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Jennifer Wolf, PHDNPI 1700080686

Title

Clinical Psychologist

Phone

(321) 372-8608

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Lynn Wolf, PH.D.

  • Clinical Psychologist
  • Melbourne, FL
  • NPI 1700080686
  NPD Authorized official

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

{
    "created_epoch": "1554681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623628800000",
    "number": "1174086151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3270 SUNTREE BLVD STE 127",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329407522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3270 SUNTREE BLVD STE 127",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329407522",
            "telephone_number": "321-372-8608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOLF PSYCHOLOGICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-08",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A",
        "authorized_official_last_name": "WOLF",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "321-372-8608",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Wise, ARNP
• Sandra Robinson Wise, PSY.D.
• Angela Wisniewski
• Natalie M Witherell
• Margaret Louise Witzleb, ARNP
• Alexandra Wolf-Defigarelli, M.D.
• Jennifer Lynn Wolf, PH.D.
• Michelle Rene Wolf, APRN
• Cheryl Wolff, MS CCC-SLP
• Tracey Wolff, LMHC

• Community/Behavioral Health Agency in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.