Organization Active NPI

Harold D. Wolff, Inc

  • Psychiatry Physician
  • Saint Louis, MO
National Provider Identifier
1548305105
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
R2239 Issued in MO
Legal business name
HAROLD D. WOLFF, INC
Practice address
777 Craig Rd
Suite 135
Saint Louis, MO 63141-7138
Phone
(314) 569-2525
Fax
(314) 569-0750
NPI assigned
Feb 21, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Harold D Wolff, M.D.
Title
President
Phone
(314) 569-2525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X R2239 MO Primary

Addresses

Primary practice location

777 Craig Rd
Suite 135
Saint Louis, MO 63141-7138

Mailing address

777 Craig Rd
Suite 135
Saint Louis, MO 63141-7138
Phone (314) 569-2525

Other identifiers 2

IdentifierTypeStateIssuer
5166OtherMOBLUE CROSS BLUE SHIELD
101399OtherHEALTHLINK

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1548305105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 CRAIG RD",
            "address_2": "SUITE 135",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631417138",
            "telephone_number": "314-569-2525",
            "fax_number": "314-569-0750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 CRAIG RD",
            "address_2": "SUITE 135",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631417138",
            "telephone_number": "314-569-2525",
            "fax_number": "314-569-0750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAROLD D. WOLFF, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WOLFF",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-569-2525",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "R2239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "5166",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "101399",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.