Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1295006203 Individual Practitioner Female Practitioner

Dr. Nicole J Wolf , PhD, LP

Psychologist • Flagstaff, AZ

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dr. Nicole Wolf, PhD, LP is a registered healthcare professional specializing in Psychologist in Flagstaff, AZ. Official NPI practice address is registered at 1515 E CEDAR AVE STE B-4.

Practice Location & Contact Primary Location

Practice Address

1515 E Cedar Ave Ste B-4

Flagstaff, AZ 860041645

Telephone 9287794550
Fax 9287794493
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Flagstaff, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 30.2 Yrs
State Avg: 28.1 Yrs
Regional Practice Density
34 Specialists

Practicing in Flagstaff, AZ (788 Statewide)

Telehealth Adoption Rate
2.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-02-21
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License MN LP5468

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID License
LP5468 (MN)

Secondary Practice Locations

116 S 3rd St

Saint Peter, MN 560822043

Phone: 5079318040

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Rachel Josefchuk , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1215580469

Psychiatric-Mental Health Nurse Practitioner

Esmeralda Ureno , MA LPC

Counselor - Mental Health

NPI 1285518696

MALPC

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location February 21, 2024

Registered at 1515 E CEDAR AVE STE B-4, FLAGSTAFF, AZ 860041645 (Tel: 9287794550)

📍
Updated Business Mailing Address February 21, 2024

Registered at 3450 N 3RD ST, PHOENIX, AZ 850122331 (Tel: 6023516986)

📍
Updated Practice Location October 18, 2019

Registered at 1100 GLENWOOD AVE, MINNEAPOLIS, MN 554051430 (Tel: 6128711454)

📍
Updated Business Mailing Address October 18, 2019

Registered at 1100 GLENWOOD AVE, MINNEAPOLIS, MN 554051430 (Tel: 6128711454)

NPI Profile Active February 21, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location February 21, 2012

Registered at 116 S 3RD ST, SAINT PETER, MN 560822043 (Tel: 5079318040)

📍
Updated Business Mailing Address February 21, 2012

Registered at 1306 MARSHALL STREET, SAINT PETER, MN 560824500 (Tel: 5079318040)

👤
Provider Name / Credentials Updated February 21, 2012

Recorded as NICOLE WOLF, PHD, LP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 21, 2012

Psychologist (License #LP5468 in MN)

🟢
Initial NPI Registration & Enumeration January 23, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1295006203
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 23, 2012
Last Update: February 21, 2024
Sole Proprietor: No

Mailing Address

3450 N 3rd St

Phoenix, AZ 850122331

Phone: 6023516986

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.