DR. JACLYN WOLF PH.D.
NPI 1043820921
Counselor - Mental Health in San Francisco, CA

Active since August 05, 2020Opted out of Medicare · through Mar 7, 2027
1600 HOLLOWAY AVE, SAN FRANCISCO, CA 94132(415) 338-2167 Get Directions Write a Review

NPPES record last updated: July 27, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 27, 2022, Aug 5, 2020 (2 updates tracked since 2020).

About Dr. Jaclyn Wolf Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JACLYN WOLF PH.D. (NPI 1043820921) is an individual mental health provider in San Francisco, California and active in the NPI registry since August 2020. She has opted out of Medicare through March 7, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1043820921
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameDR. JACLYN WOLFCredential: PH.D.
Location Address1600 HOLLOWAY AVESan Francisco, CA 94132-1722
Mailing Address1600 Holloway Avenue, Ethnic Studies & Psychology Building, Room 301San Francisco, CA 94132
Sole ProprietorNo
Enumeration DateAugust 5, 2020
Last NPPES UpdateJuly 27, 20222 updates tracked since enumeration
NPPES CertifiedJuly 27, 2022
NPI 1043820921 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedPsychologistTaxonomy 103T00000X
1600 HOLLOWAY AVE, San Francisco, CA 94132

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Jaclyn Wolf Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 7, 2023 through March 7, 2027.

Opt-Out Effective DateMarch 7, 2023
Opt-Out In Effect ThroughMarch 7, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse
1600 HOLLOWAY AVE, STUDENT HEALTH SERVICES SAN FRANCISCO STATE UNIVERSITY
SAN FRANCISCO, CA 94132
Radiologic Technologist
1600 HOLLOWAY AVE, STUDENT HEALTH SERVICES SAN FRANCISCO STATE UNIVERSITY
SAN FRANCISCO, CA 94132
Pharmacy Technician
1600 HOLLOWAY AVE
SAN FRANCISCO, CA 94132
Nurse Practitioner (Women's Health)
1600 HOLLOWAY AVE
SAN FRANCISCO, CA 94132
Specialist/Technologist (Athletic Trainer)
1600 HOLLOWAY AVE, STUDENT HEALTH SERVICES SAN FRANCISCO STATE UNIVERSITY
SAN FRANCISCO, CA 94132
Speech-Language Pathologist
1600 HOLLOWAY AVE, BURK HALL 114
SAN FRANCISCO, CA 94132
Pharmacist
1600 HOLLOWAY AVE, STUDENT HEALTH SERVICES SAN FRANCISCO STATE UNIVERSITY
SAN FRANCISCO, CA 94132
Pharmacy (Clinic Pharmacy)
1600 HOLLOWAY AVE
SAN FRANCISCO, CA 94132

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jaclyn Wolf's NPI number?

The NPI number for Jaclyn Wolf is 1043820921. It was assigned to this individual provider in the NPPES registry on August 5, 2020.

Where is Jaclyn Wolf located?

Jaclyn Wolf practices at 1600 Holloway Ave, San Francisco, CA 94132. The listed phone number is (415) 338-2167.

What is Jaclyn Wolf's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Jaclyn Wolf enrolled in Medicare?

No. Jaclyn Wolf has opted out of Medicare through March 7, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Jaclyn Wolf was last updated on July 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.