Jaclyn Wolfman, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

9933 Issued in MA

Practice address

68 Leonard St Ste 201
Belmont, MA 02478-2576

Phone

(617) 855-9204

NPI assigned

Jul 30, 2014

Last updated

Jun 18, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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.

Specialty

Clinical Psychologist

Education

Other, 2012

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Village Psychology PLLC

  • Psychologist
  • Watertown, MA
  • NPI 1851178966
  NPD Authorized official

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

{
    "created_epoch": "1406678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781740800000",
    "number": "1366850661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 LEONARD ST",
            "city": "BELMONT",
            "state": "MA",
            "postal_code": "024782522",
            "telephone_number": "617-855-2811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 LEONARD ST STE 201",
            "city": "BELMONT",
            "state": "MA",
            "postal_code": "024782576",
            "telephone_number": "617-855-9204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFMAN",
        "first_name": "JACLYN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-30",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "9933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lucas Wittman
• Eileen R Wiznitzer, PSY.D.
• Rebecca Wolenski, PH.D.
• Anki Wolf, PH.D.
• Barbara Helen Wolf, ED.D.
• Rick Peter Fritz Wolthusen, MD, MPP
• Tsung-Ung W Woo, M.D.
• Peggy Marie Worden, PSY.D.
• Kim Michael Woynowskie Jr., PSYD
• Justin Wu, DPT

• Psychologist in Belmont, MA
• Providers in Belmont, MA by specialty
• Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.