Individual provider Active NPI

Susan E Wolfe, PHD

  • Psychologist
  • Washington Court House, OH
National Provider Identifier
1295884245
Registry record updated Oct 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
5258 Issued in OH
Practice address
1300 E Paint St
Washington Court House, OH 43160-1676
Phone
(740) 335-6935
Fax
(740) 335-7423
NPI assigned
Jan 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 5258 OH Primary

Addresses

Primary practice location

1300 E Paint St
Washington Court House, OH 43160-1676

Mailing address

1300 E Paint St
Washington Court House, OH 43160-1676
Phone (740) 335-6935

Other identifiers 1

IdentifierTypeStateIssuer
1295884245OtherOHNPI

Other names 1

  • Susan Elizabeth Helwig Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20071205000153 OH Practitioner - Clinical Psychologist 2860581477 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1300 E Paint St
Washington Court House, OH 43160-1676
Phone (740) 772-7909

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
5258OHMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Scioto Paint Valley Mental Health Center CurrentSince Oct 26, 2007 Accepting new patients
Scioto Paint Valley Mental Health Center CurrentSince Oct 26, 2007 Accepting new patients

Locations

4449 State Route 159
Chillicothe, OH 45601
Phone (740) 772-7892

1300 E Paint St
Wshngtn Ct Hs, OH 43160
Phone (740) 335-6935

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/spvmhc/r4/

Organizations & group practices 2

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": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224720000000",
    "number": "1295884245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 E PAINT ST",
            "city": "WASHINGTON COURT HOUSE",
            "state": "OH",
            "postal_code": "431601676",
            "telephone_number": "740-335-6935",
            "fax_number": "740-335-7423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 E PAINT ST",
            "city": "WASHINGTON COURT HOUSE",
            "state": "OH",
            "postal_code": "431601676",
            "telephone_number": "740-335-6935",
            "fax_number": "740-335-7423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFE",
        "first_name": "SUSAN",
        "middle_name": "E",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2008-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OH",
            "license": "5258",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1295884245",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "HELWIG",
            "middle_name": "ELIZABETH",
            "credential": "PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Washington Court House, OH

Sources for this page

Verify at the official NPI Registry.