Active NPI
Pascal Devir Wolf, PSY.D.
- Psychologist
- New York, NY
National Provider Identifier
1750561965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 018453
- Practice address
- 343 E 78TH St
Suite D
New York, NY 10075-1315 - Phone
- (212) 537-6813
- Fax
- (212) 655-4459
- NPI assigned
- Nov 6, 2007
- Sex
- Male
- 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 | 018453 | NY | Primary |
Addresses
Primary practice location
343 E 78TH St
Suite D
New York, NY 10075-1315
Mailing address
1461A 1St Ave Ste 315
New York, NY 10075-2201
Phone (212) 537-6813
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upper East Side Psychology Services P.C. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Psychologist
- New York, NY
- NPI 1760784243
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312848000000",
"number": "1750561965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1461A 1ST AVE STE 315",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100752201",
"telephone_number": "212-537-6813",
"fax_number": "212-655-4459"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "343 E 78TH ST",
"address_2": "SUITE D",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100751315",
"telephone_number": "212-537-6813",
"fax_number": "212-655-4459"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLF",
"first_name": "PASCAL",
"middle_name": "DEVIR",
"name_prefix": "Mr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-11-06",
"last_updated": "2011-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "018453",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.