Individual provider Active NPI

Michele Wolf, PSY.D.

  • Clinical Psychologist
  • Ann Arbor, MI
National Provider Identifier
1245369412
Registry record updated Jul 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301013207 Issued in MI
Practice address
3830 Packard St 160
Ann Arbor, MI 48108-2357
Phone
(734) 255-8722
NPI assigned
Mar 5, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2015

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 6301013207 MI Primary

Addresses

Primary practice location

3830 Packard St 160
Ann Arbor, MI 48108-2357

Mailing address

3830 Packard St 160
Ann Arbor, MI 48108-2357
Phone (734) 255-8722

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20060426000198 MI Practitioner - Clinical Psychologist 4385671775 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wolf Psychological Services PLLCGroup PAC ID 5799061057, 3 clinicians

Practice addresses (Care Compare)

3830 Packard St
Suite 110
Ann Arbor, MI 48108-2051
Phone (734) 418-6956

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6301013207MIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Wolf Psychological Services, PLLC Clinical Current Accepting new patients
Advanced Behavioral Care, Inc. Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437004800000",
    "number": "1245369412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3830 PACKARD ST 160",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481082357",
            "telephone_number": "734-255-8722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3830 PACKARD ST 160",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481082357",
            "telephone_number": "734-255-8722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLF",
        "first_name": "MICHELE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2015-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301013207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.