Active NPI
Amie Wolf, PH.D.
- Psychologist
- Montclair, NJ
National Provider Identifier
1871697896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- SI 03227
- Practice address
- 31 S Fullerton Ave
Second Floor
Montclair, NJ 07042-3358 - Phone
- (973) 744-4494
- Fax
- (973) 744-4492
- NPI assigned
- Sep 11, 2006
- Last updated
- Feb 11, 2008
- Sex
- Female
- 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 | SI 03227 | NJ | Primary |
Addresses
Primary practice location
31 S Fullerton Ave
Second Floor
Montclair, NJ 07042-3358
Mailing address
31 South Fullerton Avenue
Second Floor
Montclair, NJ 07042
Phone (973) 744-4494
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SI 03227 | NJ | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wolf Mehlman Psychological Associates LLC | Psychologist | Past | Accepting new patients |
| Wolf Mehlman Psychological Associates, LLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Psychologist
- Montclair, NJ
- NPI 1144498114
-
- Psychologist
- Montclair, NJ
- NPI 1447407903
-
- Community/Behavioral Health Agency
- Montclair, NJ
- NPI 1851668818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202688000000",
"number": "1871697896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 SOUTH FULLERTON AVENUE",
"address_2": "SECOND FLOOR",
"city": "MONTCLAIR",
"state": "NJ",
"postal_code": "07042",
"telephone_number": "973-744-4494",
"fax_number": "973-744-4492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 S FULLERTON AVE",
"address_2": "SECOND FLOOR",
"city": "MONTCLAIR",
"state": "NJ",
"postal_code": "070423358",
"telephone_number": "973-744-4494",
"fax_number": "973-744-4492"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLF",
"first_name": "AMIE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-11",
"last_updated": "2008-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NJ",
"license": "SI 03227",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Montclair, NJ
- Victoria Anne Woertz, LCSW, RD
- Aneta Wojcik Hakimi, DDS
- Wolf Mehlman Psychological Associates LLC
- Wolf Mehlman Psychological Associates LLC
- Wolf Mehlman Psychological Associates, LLC
- Elizabeth Wolfe, CCC-SLP
- Annie Chau Wolfers, MD
- Womens Therapy Service of Montclair LLC
- Ruth Wong-Liang, MD
- Judith Pamela Wright, LSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.