Tina Lou Wolfe, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY28694 Issued in CA

Practice address

4690 El Cajon Blvd
San Diego, CA 92115-4403

Phone

(619) 445-6200

NPI assigned

Jan 8, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Institutes of Health Behavioral Medicine and Medical Psychology Inc.

  • Clinical Psychologist
  • Oceanside, CA
  • NPI 1407392319
  NPD (past)

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492732800000",
    "number": "1346398922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31115 HIGHWAY 94",
            "city": "CAMPO",
            "state": "CA",
            "postal_code": "919063133",
            "telephone_number": "619-445-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4690 EL CAJON BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921154403",
            "telephone_number": "619-445-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFE",
        "first_name": "TINA",
        "middle_name": "LOU",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2017-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY28694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Dawn Wolfe
• Dayna Lorraine Wolfe, M.D.
• Jerry H. Wolfe, DC
• Laura Grace Wolfe, MD
• Sheridan Arlene Wolfe
• James Daniel Wolff Jr., M.D.
• Karla Alexsandra Wolff, LMFT
• Katherine Wolff
• Lara Wolff, MD
• Randy Lee Wolff, D.D.S.

• Clinical Psychologist in San Diego, CA
• Providers in San Diego, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.