Individual provider Active NPI

Michael Z Wolkenfeld, PSY.D.

  • Psychologist
  • Los Angeles, CA
National Provider Identifier
1952445512
Registry record updated May 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY 20644 Issued in CA
Practice address
Childrens Hospital Los Angeles, 4650 Sunset Blvd.
Mail Stop #99
Los Angeles, CA 90027-6016
Phone
(323) 361-4641
NPI assigned
Feb 16, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY 20644 CA Primary

Addresses

Primary practice location

Childrens Hospital Los Angeles, 4650 Sunset Blvd.
Mail Stop #99
Los Angeles, CA 90027-6016

Mailing address

12647 Killion St
North Hollywood, CA 91607-1534
Phone (213) 308-1701

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PSY 20644CAMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367798400000",
    "number": "1952445512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12647 KILLION ST",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916071534",
            "telephone_number": "213-308-1701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CHILDRENS HOSPITAL LOS ANGELES, 4650 SUNSET BLVD.",
            "address_2": "MAIL STOP #99",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900276016",
            "telephone_number": "323-361-4641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLKENFELD",
        "first_name": "MICHAEL",
        "middle_name": "Z",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-16",
        "last_updated": "2013-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY 20644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.