Wolfram Associates, LTD.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

LP3758 Issued in MN

Legal business name

WOLFRAM ASSOCIATES, LTD.

Practice address

2700 1St St N
Suite 209
Saint Cloud, MN 56303-4256

Phone

(320) 420-1146

Fax

(320) 258-4380

NPI assigned

Sep 27, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Timothy J. Wolfram, PSYD, LP

Title

President

Phone

(320) 420-1146

Specialties & licenses 2

Addresses

Other identifiers 6

Locations

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346976000000",
    "number": "1679664254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5709 MEADOWLARK CT",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563030737",
            "telephone_number": "320-420-1146",
            "fax_number": "320-258-4380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 1ST ST N",
            "address_2": "SUITE 209",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563034256",
            "telephone_number": "320-420-1146",
            "fax_number": "320-258-4380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOLFRAM ASSOCIATES, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2012-09-07",
        "status": "A",
        "authorized_official_last_name": "WOLFRAM",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "320-420-1146",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD, LP"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "MN",
            "license": "LP3758",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP3758",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HEALTH",
            "identifier": "6102104",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERREDONE",
            "identifier": "1014973",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "101219",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "71Q68WO",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "71Q69WO",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "174708800",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Dee Woehler, CNP
• Kristina Woischke
• Paula Woischke
• Susan Marcella Woitalla, RN
• Allison Wolf
• Timothy J. Wolfram, PSYD
• Julie A Wolke
• Jeffrey Wollak, DPT
• Samantha Lee Woller, LMFT
• Samijo Woltman, RN

• Clinical Psychologist in Saint Cloud, MN
• Providers in Saint Cloud, MN by specialty
• Clinical Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2012; 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.