Paul Wulkan, PSY D LLSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW C-676 Issued in NV

Practice address

222 S Rainbow Blvd
Ste 210
Las Vegas, NV 89145-5340

Phone

(702) 243-4357

NPI assigned

Aug 10, 2005

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

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

Enrolled in NV

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

Specialty

Clinical Social Worker

Education

Other, 1967

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Mojave Adult Child and Family ServicesGroup PAC ID 8527364868, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mojave Adult, Child & Family Services

  dba Atomic Psychological Services

  • Community/Behavioral Health Agency
  • Las Vegas, NV
  • NPI 1942672605
  Medicare reassignment Care Compare group NPD
• Palo Verde Child & Family Services, Inc

  • Community/Behavioral Health Agency
  • Las Vegas, NV
  • NPI 1215172317
  Authorized official Same address or phone

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700887817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 S RAINBOW BLVD",
            "address_2": "STE 210",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891455340",
            "telephone_number": "702-243-4357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 S RAINBOW BLVD",
            "address_2": "STE 210",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891455340",
            "telephone_number": "702-243-4357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WULKAN",
        "first_name": "PAUL",
        "credential": "PSY D LLSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "LCSW C-676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zhen Ying Wu
• Zhen Yu Wu
• Victoria Noelle Wuest
• Angela Nicole Wujick
• Richard Neal Wulff, M.D.
• Chandler Elise Wullenwaber
• Kenjy Anthony Wun
• Alexandra Wuopio
• Tracy Ann Wurm, D.O.
• Cory Wurman, DDS

• Clinical Social Worker in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Clinical Social Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.