Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jenine Tulledge-Wolff

Individual provider Clinical Neuropsychologist · NPI 1669200580

Jenine Tulledge-Wolff is a Clinical Psychologist in Farmington, Connecticut. Qualified in 2020, 6 years ago. Practices with Northeast Neuropsychology LLC, a 17-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
6
Licensed in
CT
In the registry since
2024

Practice location Address checks out

231 Farmington Ave
Farmington, CT 06032-1940
Phone: (716) 474-3703
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X · Licence 4799 (CT)

Record details

NPI number1669200580
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 23, 2024
Last updated in NPPESJuly 23, 2024
Certification dateJuly 23, 2024
Mailing address231 Farmington Ave, Farmington, CT 06032-1940

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Northeast Neuropsychology Llc — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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