Erica Marie Wollerman, PSY.D.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1568 6TH Ave
San Diego, CA 92101-3216

Phone

(619) 235-2600

NPI assigned

Jun 12, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Thrive Therapy Studio, a Professional Psychological Corporation

  • Psychologist
  • San Diego, CA
  • NPI 1588175616
  NPD Authorized official

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319587200000",
    "number": "1639373871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1568 6TH AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921013216",
            "telephone_number": "619-235-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1568 6TH AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921013216",
            "telephone_number": "619-235-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLLERMAN",
        "first_name": "ERICA",
        "middle_name": "MARIE",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-12",
        "last_updated": "2011-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ada Ruth Wolfsen, M.D.
• Melissa Kathleen Wolinski, D.O., M.P.H.
• Mikayla Wolinsky, PT, DPT
• Jared Bruce Wollaber
• Presley Aneligh Wollan
• Mark Wollman
• Jared Wollmann, DPT
• James D Wolosin, M.D.
• Jennifer Lea Wolschlag
• Alissa Vail Wolsky

• Mental Health Counselor in San Diego, CA
• Providers in San Diego, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.