Active NPI
Ellen C. Wolfe, ED.D.
- Psychologist
- Cambridge, MA
National Provider Identifier
1689618019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 3305
- Practice address
- 263 Concord Ave
Cambridge, MA 02138-1336 - Phone
- (617) 491-3164
- NPI assigned
- Jun 15, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 3305 | MA | Primary |
Addresses
Primary practice location
263 Concord Ave
Cambridge, MA 02138-1336
Mailing address
263 Concord Ave
Cambridge, MA 02138-1336
Phone (617) 491-3164
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221004800000",
"number": "1689618019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "263 CONCORD AVE",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021381336",
"telephone_number": "617-491-3164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "263 CONCORD AVE",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021381336",
"telephone_number": "617-491-3164"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLFE",
"first_name": "ELLEN",
"middle_name": "C.",
"name_prefix": "Dr.",
"credential": "ED.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-15",
"last_updated": "2008-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "3305",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cambridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.