Individual provider Active NPI

Jami Allison Wolf, PSY.D.

  • Clinical Psychologist
  • Brooklyn, NY
National Provider Identifier
1215206644
Registry record updated Oct 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
018806 Issued in NY
Practice address
313 23Rd St Apt 2B
Brooklyn, NY 11215-6552
Phone
(347) 453-4712
NPI assigned
Dec 13, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 018806 NY Primary

Addresses

Primary practice location

313 23Rd St Apt 2B
Brooklyn, NY 11215-6552

Mailing address

313 23Rd St Apt 2B
Brooklyn, NY 11215-6552
Phone (347) 453-4712

Other practice location 1

276 5th Ave
Suite 1101
New York, NY 10001-4509
Phone (347) 453-4712

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Oct 30, 2020 through Oct 30, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1323734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601856000000",
    "number": "1215206644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 23RD ST APT 2B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112156552",
            "telephone_number": "347-453-4712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 23RD ST APT 2B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112156552",
            "telephone_number": "347-453-4712"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "276 5th Ave",
            "address_2": "Suite 1101",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100014509",
            "country_code": "US",
            "telephone_number": "347-453-4712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOLF",
        "first_name": "JAMI",
        "middle_name": "ALLISON",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-13",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "018806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.