Individual provider Active NPI

Ralph Wolf, D.O.

  • Forensic Psychiatry Physician
  • Dover, DE
National Provider Identifier
1396764932
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Forensic Psychiatry PhysicianTaxonomy code 2084F0202X
License
C2-0003033 Issued in DE
Practice address
630 W Division St
Suite F
Dover, DE 19904-2760
Phone
(302) 674-3366
Fax
(302) 674-3360
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Forensic Psychiatry Physician 2084F0202X C2-0003033 DE Primary
Forensic Psychiatry Physician 2084F0202X H0032854 MD

Addresses

Primary practice location

630 W Division St
Suite F
Dover, DE 19904-2760

Mailing address

125 E Merritt Island Cswy
Suite 209 #405
Merritt Island, FL 32952-3699
Phone (410) 778-1933

Other identifiers 8

IdentifierTypeStateIssuer
609550002MedicaidMD
D00343OtherDECONTROLLED SUBSTANCE LICE
262456700MedicaidFL
H0032854OtherMDDHMH
609550001MedicaidMD
OS 8277OtherFLST OF FL DEPT OF HEALTH L
609550004MedicaidMD
C2-0003033OtherDEPHYSICIAN LICENSE

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)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
C2-0003033DEMDForensic Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Psychotherapeutic Services Inc Past Accepting new patients
Psychotherapeutic Community Services, Inc Past Accepting new patients
Psychotherapeutic Services, Inc. Past Accepting new patients

Organizations & group practices 3

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": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1396764932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 E MERRITT ISLAND CSWY",
            "address_2": "SUITE 209 #405",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329523699",
            "telephone_number": "410-778-1933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 W DIVISION ST",
            "address_2": "SUITE F",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199042760",
            "telephone_number": "302-674-3366",
            "fax_number": "302-674-3360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLF",
        "first_name": "RALPH",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "DE",
            "license": "C2-0003033",
            "primary": true
        },
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "MD",
            "license": "H0032854",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "609550002",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONTROLLED SUBSTANCE LICE",
            "identifier": "D00343",
            "state": "DE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "262456700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DHMH",
            "identifier": "H0032854",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "609550001",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ST OF FL DEPT OF HEALTH L",
            "identifier": "OS 8277",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "609550004",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN LICENSE",
            "identifier": "C2-0003033",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.

Verify at the official NPI Registry.