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KENNETH R. WULFF MD
NPI 1124105085
Psychiatry & Neurology - Child & Adolescent Psychiatry in Petaluma, CA

Active since October 31, 2006PECOS EnrolledAccepts Medicare Assignment
1503 SPRING HILL RD, PETALUMA, CA 94952(707) 559-3895 Get Directions Write a Review

NPPES record last updated: January 18, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kenneth R. Wulff Md NPPES

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

KENNETH R. WULFF MD (NPI 1124105085) is an individual child & adolescent psychiatry provider in Petaluma, California, licensed in California (G32683) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (1975).

NPPES Registry Identity

NPI1124105085
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameKENNETH R. WULFFCredential: MD
Location Address1503 SPRING HILL RDPetaluma, CA 94952-9305
Mailing Address1503 Spring Hill RdPetaluma, CA 94952-9305 · (707) 559-3895
Phone(707) 559-3895
Sole ProprietorNo
Medical School CMSOtherGraduated 1975
Enumeration DateOctober 31, 2006
Last NPPES UpdateJanuary 18, 2024
NPPES CertifiedJanuary 18, 2024
✔ NPI 1124105085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in CA · G32683
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
1503 SPRING HILL RD, Petaluma, CA 94952
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Secondary Practice Locations 4

Location 1537 W 8th StSan Pedro, CA 90731-3119 · Phone (310) 834-1198
Location 2250 Joann StCosta Mesa, CA 92626-6455 · Phone (949) 631-9045
Location 31597 Baker StCosta Mesa, CA 92626-3746 · Phone (714) 435-7940
Location 41691 Gramercy AveTorrance, CA 90501-3236 · Phone (310) 320-0195

Other Identifiers 1

Medicaid00G326830CA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kenneth R. Wulff Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5395048813
PECOS Enrollment IDI20160115001887
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
37 services13 patients

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 Kenneth Wulff's NPI number?

The NPI number for Kenneth Wulff is 1124105085. It was assigned to this individual provider in the NPPES registry on October 31, 2006.

Where is Kenneth Wulff located?

Kenneth Wulff practices at 1503 Spring Hill Rd, Petaluma, CA 94952. The listed phone number is (707) 559-3895.

What is Kenneth Wulff's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Kenneth Wulff enrolled in Medicare?

Yes. Kenneth Wulff is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kenneth Wulff accept?

Health plans from Providence Health Plan list Kenneth Wulff as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kenneth Wulff was last updated on January 18, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.