Individual provider Active NPI

Kara E Wolff, PHD

  • Clinical Psychologist
  • Oak Park, IL
National Provider Identifier
1659651438
Registry record updated Jun 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071.008170 Issued in IL
Practice address
137 N Oak Park Ave
Ste 329
Oak Park, IL 60301-1375
Phone
(708) 381-0634
NPI assigned
Aug 24, 2011
Last updated
Jun 17, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 071.008170 IL Primary

Addresses

Primary practice location

137 N Oak Park Ave
Ste 329
Oak Park, IL 60301-1375

Mailing address

4156 W 21St PL
Suite 103
Chicago, IL 60623-2831
Phone (773) 255-2799

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120525000612 IL Practitioner - Clinical Psychologist 2365605557 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

137 N Oak Park Ave
Suite 329
Oak Park, IL 60301-1375
Phone (708) 381-0634

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
071.008170ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Wolff Clinical Group PLLC CurrentSince Jun 17, 2022 Accepting new patients
Olive Branch Counseling Associates, Inc. CurrentSince Dec 8, 2011 Accepting new patients
Olive Branch Counseling Associates, Inc. PastSince Dec 8, 2011 Accepting new patients

Locations

15601 Cicero Ave
Ste 103
Oak Forest, IL 60452
Phone (708) 207-0127

137 N Oak Park Ave
Ste 329
Oak Park, IL 60301
Phone (708) 381-0634

6819 167th St
Tinley Park, IL 60477
Phone (708) 505-9663

Organizations & group practices 3

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": "1314144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655424000000",
    "number": "1659651438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4156 W 21ST PL",
            "address_2": "SUITE 103",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606232831",
            "telephone_number": "773-255-2799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 N OAK PARK AVE",
            "address_2": "STE 329",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011375",
            "telephone_number": "708-381-0634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFF",
        "first_name": "KARA",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-24",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.008170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, IL

Sources for this page

Verify at the official NPI Registry.