Individual provider Active NPI

Julie B. Wolter, PSY.D.

  • Psychologist
  • North Kingstown, RI
National Provider Identifier
1629091137
Registry record updated Oct 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1078 Issued in NH
Practice address
426 Scrabbletown Rd # a-1
North Kingstown, RI 02852-3664
Phone
(603) 340-1167
NPI assigned
Jul 25, 2006
Last updated
Oct 26, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1078 NH Primary

Addresses

Primary practice location

426 Scrabbletown Rd # a-1
North Kingstown, RI 02852-3664

Mailing address

268 Old Coach Rd
Charlestown, RI 02813-3417
Phone (603) 340-1167

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Previously, effective Sep 15, 2024 through Sep 15, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1078NHMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Julie B. Wolter, Psy.D. LLC Psychologist CurrentSince Nov 1, 2020 Accepting new patients

Locations

426 Scrabbletown Rd
#A1
North Kingstown, RI 02852
Phone (603) 340-1167

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1629091137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "268 OLD COACH RD",
            "city": "CHARLESTOWN",
            "state": "RI",
            "postal_code": "028133417",
            "telephone_number": "603-340-1167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 SCRABBLETOWN RD # A-1",
            "city": "NORTH KINGSTOWN",
            "state": "RI",
            "postal_code": "028523664",
            "telephone_number": "603-340-1167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLTER",
        "first_name": "JULIE",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NH",
            "license": "1078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Kingstown, RI

Sources for this page

Verify at the official NPI Registry.