Active NPI
Nicole Wolvin
- Cognitive & Behavioral Psychologist
- Paw Paw, MI
National Provider Identifier
1255762043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cognitive & Behavioral Psychologist
- Practice address
- 801 Hazen St
Paw Paw, MI 49079-2008 - Phone
- (269) 655-3334
- Fax
- (269) 657-6523
- NPI assigned
- Dec 5, 2013
- Last updated
- Dec 5, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | Primary |
Addresses
Primary practice location
801 Hazen St
Paw Paw, MI 49079-2008
Mailing address
801 Hazen St
Paw Paw, MI 49079-2008
Phone (269) 655-3334
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
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": "1386201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386201600000",
"number": "1255762043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 HAZEN ST",
"city": "PAW PAW",
"state": "MI",
"postal_code": "490792008",
"telephone_number": "269-655-3334",
"fax_number": "269-657-6523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 HAZEN ST",
"city": "PAW PAW",
"state": "MI",
"postal_code": "490792008",
"telephone_number": "269-655-3334",
"fax_number": "269-657-6523"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLVIN",
"first_name": "NICOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-12-05",
"last_updated": "2013-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Paw Paw, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.