Donald J Wolk, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

308 Issued in CT

Practice address

7 Whitney Street Ext
Westport, CT 06880-3761

Phone

(203) 761-6700

Fax

(203) 761-6700

NPI assigned

Jun 14, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213747200000",
    "number": "1619910676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 RIVERGATE WOODS",
            "city": "WILTON",
            "state": "CT",
            "postal_code": "068973616",
            "telephone_number": "203-761-6700",
            "fax_number": "203-761-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 WHITNEY STREET EXT",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068803761",
            "telephone_number": "203-761-6700",
            "fax_number": "203-761-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLK",
        "first_name": "DONALD",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2008-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P368763",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "060000308CT01",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenna Elizabeth Wilson
• Karen Kahn Wilson, ED.D.
• Goldie O Winn, MSW
• Ashley Lynn Winters, PA-C
• Elizabeth Ellen Wolfe, PSY.D.
• Jackie Woods
• Janet C Woodward, MD
• Judith Anne Woolf, M.AC.
• Jermesha Motton Wright, APRN
• Melissa Wunsch, M.D.

• Clinical Psychologist in Westport, CT
• Providers in Westport, CT by specialty
• Clinical Psychologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.