1. Home
  2. Directory
  3. Georgia
  4. Roswell
  5. Psychologist
  6. NPI Profile

DR. TESSA TRUSSELL WOLF PSYD
NPI 1669705356
Psychologist - Clinical in Roswell, GA

Active since September 11, 2009Opted out of Medicare · through Apr 1, 2027
77 E CROSSVILLE RD STE 207, ROSWELL, GA 30075(770) 410-8158 Get Directions Write a Review

NPPES record last updated: November 15, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Nov 15, 2024, Jun 14, 2019 (2 updates tracked since 2019).

About Dr. Tessa Trussell Wolf Psyd NPPES

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

DR. TESSA TRUSSELL WOLF PSYD (NPI 1669705356) is an individual clinical provider in Roswell, Georgia, licensed in Georgia (PSY004273) and active in the NPI registry since September 2009. She has opted out of Medicare through April 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1669705356
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. TESSA TRUSSELL WOLFCredential: PSYD
Location Address77 E CROSSVILLE RD STE 207Roswell, GA 30075-3086
Mailing Address77 E Crossville Rd Ste 207Roswell, GA 30075-3086 · (770) 410-8158
Phone(770) 410-8158
Sole ProprietorYes
Enumeration DateSeptember 11, 2009
Last NPPES UpdateNovember 15, 20242 updates tracked since enumeration
NPPES CertifiedNovember 15, 2024
✔ NPI 1669705356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in GA · PSY004273
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.
77 E CROSSVILLE RD STE 207, Roswell, GA 30075
Open in Google Maps ↗

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. Tessa Trussell Wolf Psyd 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 April 1, 2021 through April 1, 2027.

Opt-Out Effective DateApril 1, 2021
Opt-Out In Effect ThroughApril 1, 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30075 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
$172.43 typical visit price
range $56.84 – $172.43
Typical copayment $43.10 (range $14.21 – $43.10)
Most-billed visit code 99205
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

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 Tessa Wolf's NPI number?

The NPI number for Tessa Wolf is 1669705356. It was assigned to this individual provider in the NPPES registry on September 11, 2009.

Where is Tessa Wolf located?

Tessa Wolf practices at 77 E Crossville Rd Ste 207, Roswell, GA 30075. The listed phone number is (770) 410-8158.

What is Tessa Wolf's specialty?

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

Is Tessa Wolf enrolled in Medicare?

No. Tessa Wolf has opted out of Medicare through April 1, 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 Tessa Wolf was last updated on November 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.