Wolfson Psychological Services, P.C.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071-005558 Issued in IL

Legal business name

WOLFSON PSYCHOLOGICAL SERVICES, P.C.

Practice address

149 Oak Knoll Ter
Highland Park, IL 60035-5320

Phone

(847) 433-4450

Fax

(847) 433-5464

NPI assigned

Feb 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Ivan A. Wolfson, PSY.D.NPI 1205814456

Title

Licensed Clinical Psychologist

Phone

(847) 433-4450

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 4

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

• Ivan A. Wolfson, PSY.D.

  • Clinical Psychologist
  • Highland Park, IL
  • NPI 1205814456
  Medicare reassignment Authorized official
• Joanna Katsigiannis, PSY.D.

  • Clinical Psychologist
  • Naperville, IL
  • NPI 1710283866
  NPD (past)
• Kelline Evans Mathews, PSY.D.

  • Psychologist
  • Bloomingdale, IL
  • NPI 1154648160
  NPD (past)
• Charles Gregory Kraft, ED.D.

  • Psychologist
  • Los Gatos, CA
  • NPI 1811006018
  NPD (past)

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400025600000",
    "number": "1194851477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 OAK KNOLL TER",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600355320",
            "telephone_number": "847-433-4450",
            "fax_number": "847-433-5464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 OAK KNOLL TER",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600355320",
            "telephone_number": "847-433-4450",
            "fax_number": "847-433-5464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOLFSON PSYCHOLOGICAL SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2014-05-14",
        "status": "A",
        "authorized_official_last_name": "WOLFSON",
        "authorized_official_first_name": "IVAN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "LICENSED CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "847-433-4450",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071-005558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Jean Williamson, AU.D.
• Gary Norman Wilner, MD
• Robert Withington
• Deborah Springman Wojcik, MSW, LCSW
• Lindsay Wolff, L.C.S.W.
• Ivan A. Wolfson, PSY.D.
• Wayne Wolkowicz, REGISTERED NURSE
• Wendy Wong
• Meredith Wood, L.M.F.T
• Michael T Woodall, MD

• Clinical Psychologist in Highland Park, IL
• Providers in Highland Park, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.