DR. JASON C WIESELER


Address: 400 E Sheridan Rd, Melbourne, FL 32901-3122
Phone: 3217225200

DR. JASON C WIESELER (NPI# 1528095544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528095544
Entity Type Individual
Full Name DR. JASON C WIESELER
Credential PSY.D.
Practice Address 400 E Sheridan Rd
Melbourne
FL 32901-3122
Practice Telephone 3217225200
Mailing Telephone 3217225200
Enumeration Date 2006-06-26
Last Update Date 2012-09-13
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC1900X Psychologist
Specialization: Counseling
PY7276 FL Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL 076722100 05

Office Location

Street Address 400 E SHERIDAN RD
City MELBOURNE
State FL
Zip Code 32901-3122

Providers in the same location

NPI Name Taxonomy Address Enumeration
1609865138 Ethel Sultana Andrews Psychiatry & Neurology 400 E Sheridan Rd, Melbourne, FL 32901-3122 2005-10-18
1811337033 Veronica Rubenstein Counselor 400 E Sheridan Rd, Melbourne, FL 32901-3122 2013-07-02
1780027201 Charlene Walker Counselor 400 E Sheridan Rd, Melbourne, FL 32901-3122 2013-04-15
1952643801 Michelle Boyles Social Worker 400 E Sheridan Rd, Melbourne, FL 32901-3122 2013-03-19
1386995926 Juan Manuel Bel Psychiatry & Neurology 400 E Sheridan Rd, Melbourne, FL 32901-3122 2012-09-22
1952650632 Jackson Craig Meeker Social Worker 400 E Sheridan Rd, Melbourne, FL 32901-3122 2012-09-10
1659628493 Jessica L Clark Counselor 400 E Sheridan Rd, Melbourne, FL 32901-3122 2012-08-11
1023373594 Maria Garcia Counselor 400 E Sheridan Rd, Melbourne, FL 32901-3122 2012-07-10
1740545219 Tameka Newsome Registered Nurse 400 E Sheridan Rd, Melbourne, FL 32901-3122 2012-07-10
1750646303 Pamela Decotis Counselor 400 E Sheridan Rd, Melbourne, FL 32901-3122 2012-07-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1467062943 George Pappas Anesthesiologist Assistant 1775 W. Hibiscus Blvd., Ste 215, Melbourne, FL 32901 2020-08-09
1124676820 Abbi Dell Lee Behavioral Analyst 3251 Engineering St, Melbourne, FL 32901 2019-08-27
1750856878 Jeffrey Michael Cavanagh Behavior Technician 3251 Engineering Street, Melbourne, FL 32901 2018-10-04
1740766021 Amanda Miller Behavior Technician 1885 W Hibiscus Blvd, Melbourne, FL 32901 2018-07-19
1396244406 Dragen II LLC Urology 129 W Hibiscus Blvd Ste D, Melbourne, FL 32901 2018-02-03
1225550692 Cabrit Psychotherapy Services LLC Marriage & Family Therapist 100 Rialto Place, Suite 700, Melbourne, FL 32901 2017-07-07
1487188058 Project Response, Inc. Clinic/Center 747 S. Apollo Boulevard, Melbourne, FL 32901 2017-04-20
1184174575 Paulette Swanson Physical Therapist 611 East Sheridan Rd, Melbourne, FL 32901 2016-10-10
1841747839 Nicholas Wilson Social Worker 3661 S. Babcock St., Melbourne, FL 32901 2016-09-07
1467804278 Nickolas Hetherington Occupational Therapist 1900 S Harbor City Blvd Ste 108, Melbourne, FL 32901 2016-07-05
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Taxonomy Information

Taxonomy Code 103TC1900X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Counseling

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497004188 Patrick J Aragon Psychologist 3605 Burdock Ave, Melbourne, FL 32904-7526 2012-09-10
1255867685 Kayla Beth Boyd Psychologist 400 East Sheridan Rd, Melbourne, FL 32901 2017-05-04
1518351824 Brevard Psychological Associates, Inc Psychologist 1611 S Apollo Blvd, Melbourne, FL 32901-4407 2015-03-25
1689941536 Jessica Karle Psychologist 1428 Valentine St, Melbourne, FL 32901-3130 2011-11-21
1255488185 Anthony Ferretti Psychologist 1507 Riverview Dr, Melbourne, FL 32901-4625 2007-01-04

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1508465279 Ronald Mark Sherman Psychologist 10303 Sunrise Lakes Blvd # 212, Sunrise, FL 33322-5906 2020-10-22
1932708344 Courtney Anne Bass Psychologist 5736 Eggleston Avenue, Orlando, FL 32810 2020-10-19
1992318380 Dr Tina Goodin Enterprises Inc Psychologist Psychology Center of Palm Beach, 249 Royal Palm Way, Palm Beach, FL 33480 2020-08-26
1639781313 I.s. Keino Miller I Psychologist 1704 Beechwood Cir N, Tallahassee, FL 32301-6765 2020-08-23
1699391029 Claire Gordijn Psychologist 3426 Saddle Blvd, Orlando, FL 32826-3118 2020-06-22
1811519804 Soul Search Studios Psychologist 14360 Marrian Ave, Jupiter, FL 33458-6753 2020-05-12
1548894058 Magali Rodriguez Psychologist 191 W Grossenbacher Dr, Apopka, FL 32712-7031 2020-02-24
1497387211 Nida Aziz Psychologist 6885 B-5 Sw 18th St, Boca Raton, FL 33433 2020-02-10
1578194312 Daniel Luke Fioramonti Psychologist 2940 E Park Ave Ste 2c, Tallahassee, FL 32301-3446 2020-01-30
1902445687 Recovery Bay, LLC Psychologist 9721 Thomas Dr, Panama City Beach, FL 32408-3811 2019-12-30
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Competitor

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City MELBOURNE
Zip Code 32901

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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