NPIMap

Organization Active NPI

Wolf Mehlman Psychological Associates LLC

  • Psychologist
  • Montclair, NJ
National Provider Identifier
1447407903
Registry record updated Aug 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
4546 Issued in NJ
Legal business name
WOLF MEHLMAN PSYCHOLOGICAL ASSOCIATES LLC
Practice address
31 S Fullerton Ave FL 2
Montclair, NJ 07042-3358
Phone
(973) 744-4494
Fax
(973) 744-4492
NPI assigned
Aug 26, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2008

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

Authorized official

Name
Dr. Amie Wolf Mehlman, PH.D.
Title
Psychologist
Phone
(973) 744-4494

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 4546 NJ Primary

Addresses

Primary practice location

31 S Fullerton Ave FL 2
Montclair, NJ 07042-3358

Mailing address

31 S Fullerton Ave FL 2
Montclair, NJ 07042-3358
Phone (973) 744-4494

National Provider Directory

National Provider Directory
Tax ID family
Wolf Mehlman Psychological Associates LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

31 S Fullerton Ave
Fl 2
Montclair, NJ 07042
Phone (973) 744-4494

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1219708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219708800000",
    "number": "1447407903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 S FULLERTON AVE FL 2",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070423358",
            "telephone_number": "973-744-4494",
            "fax_number": "973-744-4492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 S FULLERTON AVE FL 2",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070423358",
            "telephone_number": "973-744-4494",
            "fax_number": "973-744-4492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOLF MEHLMAN PSYCHOLOGICAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-26",
        "last_updated": "2008-08-26",
        "status": "A",
        "authorized_official_last_name": "WOLF MEHLMAN",
        "authorized_official_first_name": "AMIE",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "973-744-4494",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "4546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2008; 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.