Active NPI
Nicholas Wolf
- Psychologist
- Beverly, MA
National Provider Identifier
1306539051
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 900 Cummings Ctr Ste 324-S
Beverly, MA 01915-6198 - Phone
- (978) 922-2280
- NPI assigned
- May 30, 2023
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
900 Cummings Ctr Ste 324-S
Beverly, MA 01915-6198
Mailing address
36 Byron St
Haverhill, MA 01835-7832
Phone (781) 854-8582
Other names 1
- Nicholas Puopolo
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore Counseling Center Inc | Psychologist | Past | Accepting new patients |
Organizations & group practices 1
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": "1685404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685404800000",
"number": "1306539051",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36 BYRON ST",
"city": "HAVERHILL",
"state": "MA",
"postal_code": "018357832",
"telephone_number": "781-854-8582"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 CUMMINGS CTR STE 324-S",
"city": "BEVERLY",
"state": "MA",
"postal_code": "019156198",
"telephone_number": "978-922-2280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLF",
"first_name": "NICHOLAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-05-30",
"last_updated": "2023-05-30",
"certification_date": "2023-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NICHOLAS",
"last_name": "PUOPOLO",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Beverly, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.