Wolf Psychological Services, PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301013207 Issued in MI

Legal business name

WOLF PSYCHOLOGICAL SERVICES, PLLC

Practice address

3830 Packard St
Suite 110
Ann Arbor, MI 48108-2051

Phone

(734) 255-8722

NPI assigned

Feb 3, 2017

Last updated

Feb 3, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michele WolfNPI 1245369412

Title

Clinical Director

Phone

(734) 255-8722

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Tax ID family

Wolf Psychological Services PLLC2 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.

• Wolf Psychological Services, PLLC

  • Clinical Psychologist
  • Ann Arbor, MI
  • NPI 1265812762
  NPD tax ID

Locations

Practitioners 5

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.

• Michele Wolf, PSY.D.

  • Clinical Psychologist
  • Ann Arbor, MI
  • NPI 1245369412
  Medicare reassignment Care Compare group Authorized official
• Alyssa Nicole Butler, MSW

  • Clinical Social Worker
  • Ann Arbor, MI
  • NPI 1649990466
  Medicare reassignment Care Compare group
• Bruce M Johnson

  • Mental Health Counselor
  • Westland, MI
  • NPI 1033743091
  Medicare reassignment Care Compare group
• Michael Todd Shook

  • Clinical Social Worker
  • Ann Arbor, MI
  • NPI 1912290875
  NPD (past)
• Sarah Ann White, MA, LPC

  • Mental Health Counselor
  • Canton, MI
  • NPI 1700850856
  NPD (past)

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

{
    "created_epoch": "1486080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486080000000",
    "number": "1598203002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3830 PACKARD ST",
            "address_2": "SUITE 110",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481082051",
            "telephone_number": "734-255-8722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3830 PACKARD ST",
            "address_2": "SUITE 110",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481082051",
            "telephone_number": "734-255-8722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOLF PSYCHOLOGICAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-03",
        "last_updated": "2017-02-03",
        "status": "A",
        "authorized_official_last_name": "WOLF",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "734-255-8722"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301013207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward M Wojtys, MD
• Jonathan George Wolbert, DO
• Ellen Anne Wold, MD
• Kathleen Carol Wold, LMSW
• Wolf Psychological Services, PLLC
• Abigail Gaynier Wolf
• Anthony John Wolf, M.D.
• Barry Wolf, PSY.D.
• Barry Marc Wolf, PHD
• Elizabeth A Wolf, LPN

• Clinical Psychologist in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.