Greg Wolf

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

GREG WOLF

Practice address

1513 Chatham CT
St Augustine, FL 32092-5050

Phone

(904) 571-5678

NPI assigned

Sep 9, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Gregory David Wolf, RN

Title

Owner

Phone

(904) 571-5678

Specialties & licenses 1

Addresses

Other names 1

• Greg Doing business as

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

{
    "created_epoch": "1441756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441756800000",
    "number": "1457729345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1513 CHATHAM CT",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320925050",
            "telephone_number": "904-571-5678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1513 CHATHAM CT",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320925050",
            "telephone_number": "904-571-5678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREG WOLF",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-09",
        "last_updated": "2015-09-09",
        "status": "A",
        "authorized_official_last_name": "WOLF",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-571-5678",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greg",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carol L Greenblatt, D.O.
• Michael J Greenblatt, MD
• Richard Alan Greene, O.D.
• David Lance Greenwald, M.D.
• Jessica Greer, LMT
• Gregory a Gibson M D P a
• Alysa M Gregory, LCSW
• Suzanne Gregory
• Erin Elizabeth Walsh Gregos
• Nicole Lynn Gress, CNM

• Community/Behavioral Health Agency in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2015; 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.