Active NPI
Michael W Wolff, PH.D.
- Clinical Psychologist
- Weatherford, OK
National Provider Identifier
1508802158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 651
- Practice address
- 1100 E Main St
Suite 320
Weatherford, OK 73096-5758 - Phone
- (580) 774-1812
- NPI assigned
- Jun 21, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 651 | OK | Primary |
Addresses
Primary practice location
1100 E Main St
Suite 320
Weatherford, OK 73096-5758
Mailing address
1100 E Main St
Suite 320
Weatherford, OK 73096-5758
Phone (580) 774-1812
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100838400A | Medicaid | OK |
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 Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1293580800000",
"number": "1508802158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 E MAIN ST",
"address_2": "SUITE 320",
"city": "WEATHERFORD",
"state": "OK",
"postal_code": "730965758",
"telephone_number": "580-774-1812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 E MAIN ST",
"address_2": "SUITE 320",
"city": "WEATHERFORD",
"state": "OK",
"postal_code": "730965758",
"telephone_number": "580-774-1812"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLFF",
"first_name": "MICHAEL",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-21",
"last_updated": "2010-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OK",
"license": "651",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100838400A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Weatherford, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.