Nicole J. Wolf, PHD, LP
NPI 1295006203ActiveIndividual· Psychologist· Flagstaff, AZ
Psychologist (PHD, LP) in Flagstaff, Arizona, licensed in MN, with an NPI issued in January 2012. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1295006203 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD, LP |
| Sole proprietor | No |
| NPI issued | Jan 23, 2012 |
| Last updated in NPPES | Feb 21, 2024 |
| Certified by provider | Feb 21, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | LP5468 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (AZ) |
|---|
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