Active NPI
Ralph Wolf, D.O.
- Forensic Psychiatry Physician
- Dover, DE
National Provider Identifier
1396764932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Forensic Psychiatry Physician
- License
- C2-0003033
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 609550002 | Medicaid | MD | |
| D00343 | Other | DE | CONTROLLED SUBSTANCE LICE |
| 262456700 | Medicaid | FL | |
| H0032854 | Other | MD | DHMH |
| 609550001 | Medicaid | MD | |
| OS 8277 | Other | FL | ST OF FL DEPT OF HEALTH L |
| 609550004 | Medicaid | MD | |
| C2-0003033 | Other | DE | PHYSICIAN 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
| License | State | Type | Specialty |
|---|---|---|---|
| C2-0003033 | DE | MD | Forensic Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Group Psychotherapy Psychologist
- Dover, DE
- NPI 1427083583
-
- Group Psychotherapy Psychologist
- Dover, DE
- NPI 1689699274
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Newark, DE
- NPI 1245479781
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.