Individual provider Active NPI

Heidi Nicole Wolfson, PHD

  • Psychologist
  • Bakersfield, CA
National Provider Identifier
1871013193
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
2100 E St
Bakersfield, CA 93301-3808
Phone
(661) 327-4252
Fax
(661) 327-3409
NPI assigned
Jun 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X Primary

Addresses

Primary practice location

2100 E St
Bakersfield, CA 93301-3808

Mailing address

PO Box 10627
Bakersfield, CA 93389-0627
Phone (661) 327-4252

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
I20240612001753 CA Practitioner - Clinical Psychologist 2062954555 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2015
Medicare assignment
May accept Medicare assignment
Group practices
Valley Psychological Group Inc.Group PAC ID 5799724340, 3 clinicians

Practice addresses (Care Compare)

432 Truxtun Ave
Bakersfield, CA 93301-5316
Phone (661) 327-4252

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Psychological Group Inc. Psychologist CurrentSince Apr 30, 2024 Accepting new patients

Locations

2100 E St
Bakersfield, CA 93301
Phone (661) 327-4252

432 Truxtun Ave
Bakersfield, CA 93301
Phone (661) 327-4252

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": "1498521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1871013193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10627",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933890627",
            "telephone_number": "661-327-4252",
            "fax_number": "661-327-3409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 E ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933013808",
            "telephone_number": "661-327-4252",
            "fax_number": "661-327-3409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFSON",
        "first_name": "HEIDI",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-27",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.