WOLFSON PSYCHOLOGICAL SERVICES, P.C. (NPI# 1194851477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194851477 |
| Entity Type | Organization |
| Organization Name | WOLFSON PSYCHOLOGICAL SERVICES, P.C. |
| Practice Address |
149 Oak Knoll Ter Highland Park IL 60035-5320 |
| Practice Telephone | 8474334450 |
| Practice Fax Number | 8474335464 |
| Mailing Telephone | 8474334450 |
| Mailing Fax Number | 8474335464 |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2014-05-14 |
| Authorized Official Name | DR. IVAN A. WOLFSON (LICENSED CLINICAL PSYCHOLOGIST) |
| Authorized Official Telephone | 8474334450 |
| Authorized Official Credential | PSY.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
071-005558 | IL | Behavioral Health & Social Service Providers |
| Street Address |
149 OAK KNOLL TER |
| City | HIGHLAND PARK |
| State | IL |
| Zip Code | 60035-5320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205814456 | Ivan A. Wolfson | Psychologist | 149 Oak Knoll Ter, Highland Park, IL 60035-5320 | 2006-01-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770140006 | Julian Jay Freeman | Internal Medicine | 1954 1st St., Suite 263, Highland Park, IL 60035 | 2019-05-22 |
| 1851838858 | Melissa Block | Lactation Consultant, Non-RN | 303 Sheridan Road, Highland Park, IL 60035 | 2017-01-27 |
| 1750838280 | Megan Hyatt | Physical Therapist | Central Parkway, Store #210, Highland Park, IL 60035 | 2016-09-01 |
| 1962865907 | Timothy C Dennis | Counselor | 1724 1st St., Nicasa, Highland Park, IL 60035 | 2016-03-29 |
| 1821458027 | Sarah Marie Pinger | Counselor | 1724 1st Street, Highland Park, IL 60035 | 2016-03-01 |
| 1508262775 | Jennifer Francis Gilbert | Social Worker | 1067 Centerfield Court, Highland Park, IL 60035 | 2014-11-14 |
| 1588070148 | Hpoms | Clinic/Center | 1893 Sheridan Rd Suite 311, Highland Park, IL 60035 | 2014-07-03 |
| 1477974152 | Mtca Psychological Services of Illinois P.C. | Psychologist | 1651 Richfield Avenue, Highland Park, IL 60035 | 2013-12-23 |
| 1760819510 | Linda Beth Greco | Social Worker | 274 Linden Park Place, Highland Park, IL 60035 | 2013-10-10 |
| 1770821373 | Eve Cooper Agin | Counselor | 1866 Sheridan Road, Suite 203, Highland Park, IL 60035 | 2013-01-17 |
| Find all providers in zip 60035 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770118176 | Astrid Edith Hesse | Psychologist | 580 Roger Williams Ave Ste 21, Highland Park, IL 60035-4820 | 2020-03-05 |
| 1356827984 | Bonnie Gordic | Psychologist | 24 N 3rd Ave Ste 111c, Highland Park, NJ 08904-2429 | 2018-07-17 |
| 1932652559 | Beth Fishman | Psychologist | 1989 Richfield Ave, Highland Park, IL 60035-2909 | 2016-08-01 |
| 1235434622 | Marcia S. Nickow | Psychologist | 364 Roger Williams Ave, Highland Park, IL 60035-4751 | 2011-01-17 |
| 1841514189 | Madine R Desantis | Psychologist | 307 Raritan Avenue, Highland Park, NJ 08904 | 2010-03-15 |
| 1215250444 | Astrid Hesse | Psychologist | 580 Roger Williams Ave Ste 22, Highland Park, IL 60035-4820 | 2010-03-02 |
| 1851624118 | Roberta Maller Hartman | Psychologist | 315 Briar Ln, Highland Park, IL 60035-4309 | 2009-09-17 |
| 1740457993 | Craig Matthew Callan | Psychologist | 10 N 2nd Ave, Highland Park, NJ 08904-2419 | 2008-05-15 |
| 1003019316 | Jacqueline S. Gilbert | Psychologist | 324 Raritan Ave Ste 117, Highland Park, NJ 08904-2758 | 2007-06-06 |
| 1720203359 | Karen Riggs Skean | Psychologist | 12 N 4th Ave, Highland Park, NJ 08904-2736 | 2007-04-17 |
| Find all providers in HIGHLAND PARK | ||||
| City | HIGHLAND PARK |
| Zip Code | 60035 |
Please comment or provide details below to improve the information on WOLFSON PSYCHOLOGICAL SERVICES, P.C..
| 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.