Teri Lyn Wolf, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

4301074082 Issued in MI

Practice address

101 W Liberty St Apt 360
Ann Arbor, MI 48104-1365

Phone

(734) 997-9484

Fax

(734) 997-9484

NPI assigned

Aug 15, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Previously, effective Sep 10, 2018 through Sep 10, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485993600000",
    "number": "1447263876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W. LIBERTY ST., SUITE 360",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481049520",
            "telephone_number": "734-997-9484",
            "fax_number": "734-997-9484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W LIBERTY ST APT 360",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481041365",
            "telephone_number": "734-997-9484",
            "fax_number": "734-997-9484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLF",
        "first_name": "TERI",
        "middle_name": "LYN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2017-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "4301074082",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301074082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN",
            "identifier": "750910475",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Anne Wolf
• Leslye Kay Wolf, PA-C
• Lisa Claire Wolf, PSYD
• Matthias T Wolf, M.D.
• Michele Wolf, PSY.D.
• Taida Jamour Wolfe, M.D.
• Margaret Susanne Wolff, M.D.
• Bennet W Wolper, M.S.W.
• Womansafehealth
• Natalie Rose Wombacher, CCC-SLP

• Psychiatry Physician in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Psychiatry Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2017; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.