Individual provider Active NPI

Jennifer Lea Wolfe, PSY.D.

  • Clinical Psychologist
  • Beverly Hills, CA
National Provider Identifier
1861604688
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY18833 Issued in CA
Practice address
9107 Wilshire Blvd.
Suite 215
Beverly Hills, CA 90210-5508
Phone
(310) 880-9110
NPI assigned
May 4, 2007
Last updated
Jul 8, 2007By the provider in NPPES
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
Clinical Psychologist 103TC0700X PSY18833 CA Primary

Addresses

Primary practice location

9107 Wilshire Blvd.
Suite 215
Beverly Hills, CA 90210-5508

Mailing address

9107 Wilshire Blvd.
Suite 215
Beverly Hills, CA 90210-5508
Phone (310) 880-9110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20120228000235 CA Practitioner - Clinical Psychologist 8527226141 Practice locations: Los Angeles, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6330 San Vicente Blvd
Suite 520
Los Angeles, CA 90048-5455
Phone (310) 880-9110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18833CAMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
VJ Tutson MD and Associates PC PastSince Feb 9, 2025 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.

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861604688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9107 WILSHIRE BLVD.",
            "address_2": "SUITE 215",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105508",
            "telephone_number": "310-880-9110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9107 WILSHIRE BLVD.",
            "address_2": "SUITE 215",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105508",
            "telephone_number": "310-880-9110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFE",
        "first_name": "JENNIFER",
        "middle_name": "LEA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY18833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.