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Mark Stephen Wise

NPI 1871360727ActiveIndividual· Psychoanalyst· Marietta, GA

Psychoanalyst in Marietta, Georgia, licensed in GA, with an NPI issued in December 2023.

Overview

NPI1871360727
StatusActive
Entity typeIndividual
Sole proprietorYes
NPI issuedDec 11, 2023
Last updated in NPPESDec 11, 2023
Certified by providerDec 10, 2023

Specialties and licenses

TaxonomyCodeLicenseState
Psychoanalyst Primary102L00000XLPC014257GA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years