BRIAN A WOLF PH.D.
NPI 1609982040
Psychologist - Clinical in Kenosha, WI

Q: What is Brian Wolf's NPI number?

The NPI number for Brian Wolf is 1609982040. It was assigned to this individual provider in the NPPES registry on August 21, 2006.

Q: What is Brian Wolf's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Brian Wolf was last updated on June 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since August 21, 2006PECOS Enrolled

2108 63RD ST, KENOSHA, WI 53143(262) 652-2406(262) 652-2408 Get Directions Write a Review

NPPES record last updated: June 30, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Brian A Wolf Ph.d. NPPES

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

BRIAN A WOLF PH.D. (NPI 1609982040) is an individual clinical provider in Kenosha, Wisconsin, licensed in Wisconsin (1039-057) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609982040

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameBRIAN A WOLFCredential: PH.D.

Location Address2108 63RD STKenosha, WI 53143-4454

Mailing Address6233 39th AveKenosha, WI 53142-7015 · (262) 654-1004 · Fax (262) 654-6960

Phone(262) 652-2406

Fax(262) 652-2408

Sole ProprietorNo

Enumeration DateAugust 21, 2006

Last NPPES UpdateJune 30, 2008

✔ NPI 1609982040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in WI · 1039-057

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 12126 (WI)

2108 63RD ST, Kenosha, WI 53143

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Other Identifiers 2

Medicaid39046000WI

Medicare ID-Type Unspecified84462-0002WI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brian A Wolf Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Brian Wolf reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Professional Services Group, Inc.

Same address

Mental Health (Including Community Mental Health Center)

2108 63RD ST
Kenosha, WI 53143

Reassigned Medicare billing, Wisconsin enrollment
72 clinicians in this Medicare group

NPI 1619024262 (262) 652-2406

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53143 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$163.24 typical visit price

range $53.90 – $163.24

Typical copayment $40.81 (range $13.47 – $40.81)

Most-billed visit code 99205

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

JESSICA MARTZAHL LPC

Counselor (Professional)