Individual provider Active NPI

Amos Wolff, LMFT

  • Marriage & Family Therapist
  • Nyack, NY
National Provider Identifier
1902474067
Registry record updated Feb 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
001811 Issued in NY
Practice address
12 Castle Heights Ave
Nyack, NY 10960-1501
Phone
(718) 734-7809
NPI assigned
Jun 15, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 001811 NY Primary

Addresses

Primary practice location

12 Castle Heights Ave
Nyack, NY 10960-1501

Mailing address

210 13TH St
Hoboken, NJ 07030-4435
Phone (845) 548-8288

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 2, 2024 through Feb 2, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
001811NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kingfisher Marriage and Family Therapy, PLLC Marriage & Family Therapist CurrentSince Jun 22, 2021 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1623715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644451200000",
    "number": "1902474067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 13TH ST",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070304435",
            "telephone_number": "845-548-8288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 CASTLE HEIGHTS AVE",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "109601501",
            "telephone_number": "718-734-7809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFF",
        "first_name": "AMOS",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-15",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "001811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nyack, NY

Sources for this page

Verify at the official NPI Registry.