Organization Active NPI

Kristin Wolfe LLC

  • Clinical Psychologist
  • League City, TX
National Provider Identifier
1629404389
Registry record updated Sep 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
36379 Issued in TX
Legal business name
KRISTIN WOLFE LLC
Practice address
216 N Michigan Ave
League City, TX 77573-2431
Phone
(281) 332-5100
NPI assigned
Sep 25, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2013

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

Authorized official

Name
Kristen Jones
Title
Office Manager
Phone
(281) 332-5100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 36379 TX Primary

Addresses

Primary practice location

216 N Michigan Ave
League City, TX 77573-2431

Mailing address

216 N Michigan Ave
League City, TX 77573-2431
Phone (281) 332-5100

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1380067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380067200000",
    "number": "1629404389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 N MICHIGAN AVE",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775732431",
            "telephone_number": "281-332-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 N MICHIGAN AVE",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775732431",
            "telephone_number": "281-332-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTIN WOLFE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-25",
        "last_updated": "2013-09-25",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "281-332-5100"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "36379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in League City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2013; 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.