Daniel L Wise, PH.D., PA
NPI 1528636511ActiveOrganization· Psychologist, Clinical· Edina, MN
Psychologist, Clinical in Edina, Minnesota, registered in NPPES in June 2021. The authorized official on file is Daniel Wise, PH.D., President/Licensed Psychologist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1528636511 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 15, 2021 |
| Last updated in NPPES | Aug 24, 2021 |
| Certified by provider | Aug 24, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MN) |
|---|
Other clinical psychologists in Edina
- 1033484951
- 1083400592
- 1164533212
- 1225960784
- 1306033667
- 1316910383
- 1457748477
- 1497834220
- 1609895531
- 1669796058
- 1700631686
- 1710964218
All 63 clinical psychologists in Edina · All clinical psychologists in Minnesota