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NAOMI ROSE GORFINKLE ULLENDORFF MD
NPI 1770949018
Psychiatry & Neurology - Child & Adolescent Psychiatry in Philadelphia, PA

Active since December 31, 2015PECOS Enrolled
3600 CIVIC CENTER BLVD FL 12, PHILADELPHIA, PA 19104(800) 879-2467 Get Directions Write a Review

NPPES record last updated: October 16, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 16, 2023, Oct 21, 2021, Apr 25, 2018 and 1 more (4 updates tracked since 2015).

About Naomi Rose Gorfinkle Ullendorff Md NPPES

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

NAOMI ROSE GORFINKLE ULLENDORFF MD (NPI 1770949018) is an individual child & adolescent psychiatry provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD477463) and active in the NPI registry since December 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Philadelphia.

NPPES Registry Identity

NPI1770949018
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameNAOMI ROSE GORFINKLE ULLENDORFFCredential: MD
Location Address3600 CIVIC CENTER BLVD FL 12Philadelphia, PA 19104-4310
Mailing Address3600 Civic Center Blvd Fl 12Philadelphia, PA 19104-4310 · (800) 879-2467
Phone(800) 879-2467
Sole ProprietorNo
Enumeration DateDecember 31, 2015
Last NPPES UpdateOctober 16, 20234 updates tracked since enumeration
NPPES CertifiedOctober 16, 2023
✔ NPI 1770949018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in PA · MD477463
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
3600 CIVIC CENTER BLVD FL 12, Philadelphia, PA 19104
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Other Names 1

Former Name (1)Naomi Rose Ullendorff Gorfinkle Md

Secondary Practice Location 1

Location 11233 Locust StPhiladelphia, PA 19107-5453 · Phone (215) 985-4448

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Naomi Rose Gorfinkle Ullendorff Md 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 Naomi Ullendorff reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Philadelphia Fight
1.8 mi
Federally Qualified Health Center (FQHC)
1233 LOCUST ST FL 4
Philadelphia, PA 19107
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 44 clinicians in this Medicare group
NPI 1487082608 (215) 790-1788

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

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 Naomi Ullendorff's NPI number?

The NPI number for Naomi Ullendorff is 1770949018. It was assigned to this individual provider in the NPPES registry on December 31, 2015. The provider is also known as Naomi Rose Ullendorff Gorfinkle MD.

Where is Naomi Ullendorff located?

Naomi Ullendorff practices at 3600 Civic Center Blvd Fl 12, Philadelphia, PA 19104. The listed phone number is (800) 879-2467.

What is Naomi Ullendorff's specialty?

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

Is Naomi Ullendorff enrolled in Medicare?

Yes. Naomi Ullendorff is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Naomi Ullendorff's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Naomi Ullendorff reassigns Medicare benefits to Philadelphia Fight (Philadelphia, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Naomi Ullendorff's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Naomi Ullendorff was last updated on October 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.