Physician Compare National (NPI:1467597815)

HEALTHCARE PROVIDER: CAROL STONE WOLMAN MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1467597815
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9234284605
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20090909000068
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	WOLMAN
	Individual professional last name
Provider First Name	CAROL
	Individual professional first name
Provider Middle Name	S
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	HARVARD MEDICAL SCHOOL
	Individual professional's medical school
Graduation Year	1967
	Individual professional's medical school graduation year
Primary Specialty	PSYCHIATRY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	NEUROPSYCHIATRY
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	NEUROPSYCHIATRY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	406 41ST ST
	Group Practice or individual's line 1 address
City	OAKLAND
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	946092511
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5106221667
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y