Individual provider Active NPI

Scott Thomas Wolfe, PH.D.

  • Clinical Psychologist
  • Columbia, MD
National Provider Identifier
1841309549
Registry record updated May 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3123 Issued in MD
Practice address
7102 Minstrel Way
Suite 203
Columbia, MD 21045-5243
Phone
(410) 381-4411
Fax
(410) 381-4711
NPI assigned
Aug 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2014

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 3123 MD Primary
Counseling Psychologist 103TC1900X 3123 MD
Family Psychologist 103TF0000X 3123 MD
Psychoanalysis Psychologist 103TP0814X 3123 MD
Psychologist 103T00000X 3123 MD

Addresses

Primary practice location

7102 Minstrel Way
Suite 203
Columbia, MD 21045-5243

Mailing address

7120 Minstrel Way
Suite 203
Columbia, MD 21045-5248
Phone (410) 381-4411

Other identifiers 2

IdentifierTypeStateIssuer
20-4892540OtherMDMARYLAND TAX I.D. #
3123OtherMDMD PSYCHOLOGIST LICENSE #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 4, 2024 through Jul 4, 2028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3123MDMDPsychologist
03123MDMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400803200000",
    "number": "1841309549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7120 MINSTREL WAY",
            "address_2": "SUITE 203",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210455248",
            "telephone_number": "410-381-4411",
            "fax_number": "410-381-4711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7102 MINSTREL WAY",
            "address_2": "SUITE 203",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210455243",
            "telephone_number": "410-381-4411",
            "fax_number": "410-381-4711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFE",
        "first_name": "SCOTT",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2014-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "3123",
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MD",
            "license": "3123",
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "MD",
            "license": "3123",
            "primary": false
        },
        {
            "code": "103TP0814X",
            "taxonomy_group": "",
            "desc": "Psychologist, Psychoanalysis",
            "state": "MD",
            "license": "3123",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MD",
            "license": "3123",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARYLAND TAX I.D. #",
            "identifier": "20-4892540",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD PSYCHOLOGIST LICENSE #",
            "identifier": "3123",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.