DR. NICOLE J WOLF (NPI# 1295006203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295006203 |
| Entity Type | Individual |
| Full Name | DR. NICOLE J WOLF |
| Credential | PHD, LP |
| Practice Address |
1100 Glenwood Ave Minneapolis MN 55405-1430 |
| Practice Telephone | 6128711454 |
| Practice Fax Number | 6128711505 |
| Mailing Telephone | 6128711454 |
| Mailing Fax Number | 6128711505 |
| Enumeration Date | 2012-01-23 |
| Last Update Date | 2019-10-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | LP5468 | MN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | LICENSE | LP5468 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 116 S 3rd St, Saint Peter, MN 560822043 | 5079318040 | 5079318060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790101087 | Nicole Marie Wolf | Licensed Practical Nurse | 3932 Sunset Blvd, Erie, PA 16504-2060 | 2014-03-11 |
| 1689901209 | Nicole Kimberly Wolf | Massage Therapist | 4843 41st Ln Se, Lacey, WA 98503-5547 | 2009-11-04 |
| 1881200582 | Nicole Wolf | Behavioral Analyst | 1986 Brighton Ave, Grover Beach, CA 93433-1816 | 2020-09-17 |
| 1104365014 | Nicole Wolf | Physician Assistant | 500 Osborn Blvd, Sault Sainte Marie, MI 49783-1822 | 2017-02-13 |
| 1215480041 | Nicole Elizabeth Wolf | Audiologist | 3285 S Val Vista Dr, Audiology, Gilbert, AZ 85297-7000 | 2016-07-28 |
| 1982979712 | Nicole L Wolf | Nurse Practitioner | 1521 Gull Rd, Kalamazoo, MI 49048-1640 | 2012-03-13 |
| 1174817761 | Nicole M Wolf | Speech-Language Pathologist | 2 Gracedale Ave, Nazareth, PA 18064-8785 | 2011-06-01 |
| Street Address |
1100 GLENWOOD AVE |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55405-1430 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225136419 | Washburn Center for Children | Clinic/Center | 1100 Glenwood Ave, Minneapolis, MN 55405 | 2006-09-20 |
| 1326648643 | Heidi Louise Mangelsen | Social Worker | 1100 Glenwood Ave, Minneapolis, MN 55405-1430 | 2020-10-27 |
| 1093314288 | Natalie Rose Borrell | Marriage & Family Therapist | 1100 Glenwood Ave, Minneapolis, MN 55405-1430 | 2020-10-20 |
| 1518565126 | Xeng Ying Pha | Social Worker | 1100 Glenwood Ave, Minneapolis, MN 55405-1430 | 2020-10-15 |
| 1851908883 | Jeri Ann Miller | Marriage & Family Therapist | 1100 Glenwood Ave, Minneapolis, MN 55405-1430 | 2020-09-24 |
| 1760097950 | Ryan Donovan Lewsader | Social Worker | 1100 Glenwood Ave, Minneapolis, MN 55405-1430 | 2020-09-14 |
| 1366060709 | Nicole Marie Tillman | Social Worker | 1100 Glenwood Ave, Minneapolis, MN 55405-1430 | 2020-07-13 |
| 1801411269 | Taylor Joy Johnson | Social Worker | 1100 Glenwood Ave, Minneapolis, MN 55405-1430 | 2020-06-11 |
| 1700414158 | Ashley Hipp | Social Worker | 1100 Glenwood Ave, Minneapolis, MN 55405-1430 | 2020-03-31 |
| 1740817899 | Karen Elizabeth Shefchik | Social Worker | 1100 Glenwood Ave, Minneapolis, MN 55405-1430 | 2020-03-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003373689 | Minneapolis Health & Wellness Ne, LLC | Physical Therapist | 2125 E Hennepin Ave, Suite 300, Minneapolis, MN 55405 | 2019-03-01 |
| 1033673967 | Amy Fitzgerald | Counselor | 2915 South Wayzata Boulevard, Minneapolis, MN 55405 | 2019-01-24 |
| 1861975245 | Sara Tejani | Dentist | 2232 Hennepin Ave. S., Minneapolis, MN 55405 | 2018-09-11 |
| 1477903995 | James Albert Zeese Jr. | Psychiatry & Neurology | 2401 Laurel Avenue, Minneapolis, MN 55405 | 2016-06-15 |
| 1154786523 | Sophia Bouwens | Acupuncturist | 275 Market St Ste 409, Minneapolis, MN 55405 | 2015-12-29 |
| 1912362732 | Anna Needham | Acupuncturist | 2200 Hennepin Ave S, Minneapolis, MN 55405 | 2015-12-21 |
| 1821423740 | Aja Dionna King | Counselor | 227 Colfax Ave N Ste 15, Minneapolis, MN 55405 | 2013-09-10 |
| 1013280403 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 2100 Lyndale Ave S Ste A, Minneapolis, MN 55405 | 2012-02-15 |
| 1396022117 | Sharri Peterson Rogers | Marriage & Family Therapist | 2809 South Wayzata Blvd, Minneapolis, MN 55405 | 2011-11-08 |
| 1447577143 | Kareem Shareef Braxton | Counselor | 227 Colfax Avenue North, Suite 130, Minneapolis, MN 55405 | 2010-04-21 |
| Find all providers in zip 55405 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407496516 | Liza N Meredith | Psychologist | Acacia Counseling and Wellness, 2724 University Ave Se Unit B, Minneapolis, MN 55414 | 2020-01-07 |
| 1194368191 | Luz Angelica Fehn Salinas | Psychologist | 1315 E24th St, Minneapolis, MN 55404 | 2019-10-22 |
| 1164071148 | Amy C Moran | Psychologist | Acacia Counseling & Wellness, 2724 University Ave., Unit B, Minneapolis, MN 55414 | 2019-09-11 |
| 1104482074 | Sanvello Behavioral Health Services, P.a. | Psychologist | 150 S 5th St Ste 825, Minneapolis, MN 55402-4200 | 2019-05-15 |
| 1033674726 | Kristina Marie Duncombe Lowe | Psychologist | 910 E 26th St Ste 410, Minneapolis, MN 55404-4512 | 2019-02-06 |
| 1083192223 | Krista Yucuis | Psychologist | 725 8th Ave Se, Minneapolis, MN 55414-1364 | 2018-07-31 |
| 1720564941 | Shani Ofrat | Psychologist | 1 Veterans Dr # 2g-128, Minneapolis, MN 55417-2309 | 2018-07-11 |
| 1962998997 | Steven Wolinski | Psychologist | 3830 Washburn Ave N, Minneapolis, MN 55412 | 2018-07-02 |
| 1497268122 | Andrea Lynn Potthoff | Psychologist | 7300 Metro Blvd Ste 640, Minneapolis, MN 55439-2313 | 2017-11-16 |
| 1871046912 | Christine E Bray | Psychologist | 1100 Washington Ave S, Suite 102, Minneapolis, MN 55415-1273 | 2016-07-25 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55405 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.