Daniel Tod Wolverton, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0942 Issued in KY

Practice address

6520 Glenridge Park PL
Ste 3
Louisville, KY 40222-3453

Phone

(502) 893-8822

NPI assigned

Mar 3, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

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

Specialty

Clinical Psychologist

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1172880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410480000000",
    "number": "1205965670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6520 GLENRIDGE PARK PL",
            "address_2": "STE 3",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402223453",
            "telephone_number": "502-893-8822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6520 GLENRIDGE PARK PL",
            "address_2": "STE 3",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402223453",
            "telephone_number": "502-893-8822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLVERTON",
        "first_name": "DANIEL",
        "middle_name": "TOD",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-03",
        "last_updated": "2014-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KY",
            "license": "0942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "P300041276",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stewart E. Wolfson, MD
• Marilyn K Wolpert, ARNP
• Wolter Chiropractic PLLC
• Sonya Wolter, DC
• Todd Darrow Wolter, D.C.
• Mackenzie I Wolz
• A Lynn Womack, MD
• Women First of Louisville PLLC
• Women Health Services
• Women in Circle Inc

• Clinical Psychologist in Louisville, KY
• Providers in Louisville, KY by specialty
• Clinical Psychologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.