Individual provider Active NPI

Brooke M. Wolf, M.D.

  • Psychiatry Physician
  • Beachwood, OH
National Provider Identifier
1801980701
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
35039956 Issued in OH
Practice address
3690 Orange PL
Suite 430
Beachwood, OH 44122-4464
Phone
(216) 464-5330
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 35039956 OH Primary

Addresses

Primary practice location

3690 Orange PL
Suite 430
Beachwood, OH 44122-4464

Mailing address

3690 Orange PL
Suite 430
Beachwood, OH 44122-4464
Phone (216) 464-5330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120328000926 OH Practitioner - Psychiatry 1658277538 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Temple University School of Medicine, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Coast Mental Health Associates IncGroup PAC ID 5597661439, 10 clinicians

Practice addresses (Care Compare)

3690 Orange PL
Suite 430
Beachwood, OH 44122-4467
Phone (216) 464-5330

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35039956OHMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Coast Mental Health Associates Inc. CurrentSince Sep 1, 1995 Accepting new patients

Locations

3690 Orange Pl
Ste 430
Beachwood, OH 44122
Phone (216) 464-5330

30400 Detroit Rd
Ste 301
Westlake, OH 44145
Phone (216) 926-1369

Interoperability endpoints

  • Direct secure messaging: bwolf220517@ehrdirect.uhhospitals.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801980701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3690 ORANGE PL",
            "address_2": "SUITE 430",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224464",
            "telephone_number": "216-464-5330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3690 ORANGE PL",
            "address_2": "SUITE 430",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224464",
            "telephone_number": "216-464-5330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLF",
        "first_name": "BROOKE",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35039956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

Verify at the official NPI Registry.