BARRY WOLF (NPI# 1962024067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962024067 |
| Entity Type | Individual |
| Full Name | BARRY WOLF |
| Credential | MD |
| Practice Address |
Jackwolf LLC 247 S. Ocean Blvd Boca Raton FL 33432 |
| Mailing Address |
247 S Ocean Blvd Unit B Boca Raton FL 33432-6439 |
| Practice Telephone | 5619619225 |
| Mailing Telephone | 5619519225 |
| Enumeration Date | 2020-05-12 |
| Last Update Date | 2020-05-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | PHYSICIAN DIRECT | 646878 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063676005 | Barry A Wolf | Occupational Therapist | 801 N Kings Hwy, Cherry Hill, NJ 08034-1513 | 2008-07-17 |
| 1902068448 | Barry Wolf | Psychologist | 552 S Main St, Ann Arbor, MI 48104-2921 | 2008-06-26 |
| 1740408582 | Barry E Wolf | Dentist | 11407 W. Bluemound Rd., Wauwatosa, WI 53226 | 2007-04-24 |
| 1154450542 | Barry Marc Wolf | Psychologist | 2004 Hogback Rd, Suite 16, Ann Arbor, MI 48105-9738 | 2007-03-03 |
| 1508933979 | Barry Wolf | Pediatrics | Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 | 2006-11-29 |
| 1447274402 | Barry Z Wolf | Internal Medicine | 2 State Route 27, Suite 301, Edison, NJ 08820-3961 | 2006-07-26 |
| Street Address |
JACKWOLF LLC 247 S. OCEAN BLVD |
| City | BOCA RATON |
| State | FL |
| Zip Code | 33432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225659147 | Tyler Stephanie Diaz Redford | Physician Assistant | 106 Ne 2nd St., Boca Raton, FL 33432 | 2020-05-01 |
| 1235611393 | Gabrielle Bovarnick | Behavioral Analyst | 1730 S Federal Hwy #268, Delay Beach, FL 33432 | 2018-09-05 |
| 1285113878 | Innovative Supplies, LLC | Durable Medical Equipment & Medical Supplies | 399 Camino Gardens, Ste 303, Boca Raton, FL 33432 | 2018-08-14 |
| 1376029850 | Sunlight Medical Group, LLC | Durable Medical Equipment & Medical Supplies | 1700 N. Dixie Highway, Ste 127, Boca Raton, FL 33432 | 2018-07-17 |
| 1306332648 | Sunlight Medical LLC | Durable Medical Equipment & Medical Supplies | 1700 Dixie Hwy, Suite 127, Boca Raton, FL 33432 | 2018-07-10 |
| 1669973707 | Amanda M. D'alem | Behavior Technician | Nw 13th St #300, Boca Raton, FL 33432 | 2018-02-23 |
| 1457863326 | Pipeline Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 1700 N Dixie Hwy Ste 140, Boca Raton, FL 33432 | 2017-10-31 |
| 1063930717 | Francisco Jose Osorio | Behavior Technician | 123 Nw 13 St, Boca Raton, FL 33432 | 2017-09-01 |
| 1023467263 | Sraz Consultancy LLC | Counselor | 370 Camino Gardens Blvd Suite 101, Boca Raton, FL 33432 | 2016-06-08 |
| 1164882791 | Debra Howard | Social Worker | 150 E Palmetto Park Rd Ste 800, Boca Raton, FL 33432 | 2016-02-24 |
| Find all providers in zip 33432 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891237376 | Chad Koller | Counselor | 3848 Fau Boulvard, Innovation Center 2, Suite 200, Boca Raton, FL 33431 | 2016-11-15 |
| 1174990667 | Daniele Alexis Trevathan | Counselor | 1600 S Dixie Hwy Ste 508, Boca Raton, FL 33432-7454 | 2015-08-31 |
| 1164809455 | C. Cice Rivera Gonzalez | Counselor | 20 Tam O Shanter Ln, Boca Raton, FL 33431-3903 | 2015-05-06 |
| 1134527864 | David Weiss | Counselor | 245 Sw 7th St Apt 3, Boca Raton, FL 33432-5964 | 2014-12-11 |
| 1134535925 | Pb Doctors Group, LLC | Counselor | 141 Nw 20th Street, Suite F-6, Boca Raton, FL 33431-7966 | 2014-07-01 |
| 1073756979 | Marina Oksengorn | Counselor | 4400 N Federal Hwy Ste 210-14, Boca Raton, FL 33431 | 2009-04-08 |
| 1942479332 | Naomi Berger | Counselor | 1900 Glades Rd Ste 352, Boca Raton, FL 33431-7333 | 2008-02-29 |
| 1932221769 | Margarita Flemma | Counselor | 4001 N Ocean Blvd, B305, Boca Raton, FL 33431-5363 | 2007-04-04 |
| 1235261496 | Andrew Viedrah | Counselor | 21301 Powerline Rd # 309-h, Boca Raton, FL 33433-2388 | 2007-03-12 |
| 1871149799 | Kimberlee A. Trinkofsky, Lmhc, Pa | Counselor | 7100 Camino Real Ste 404, Boca Raton, FL 33433-5510 | 2019-08-15 |
| Find all providers in BOCA RATON | ||||
| City | BOCA RATON |
| Zip Code | 33432 |
Please comment or provide details below to improve the information on BARRY WOLF.
| 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.