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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC1900X |
Psychologist Specialization: Counseling |
PY7276 | FL | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 076722100 | 05 |
Street Address |
400 E SHERIDAN RD |
City | MELBOURNE |
State | FL |
Zip Code | 32901-3122 |
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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---|---|---|---|---|
1467062943 | George Pappas | Anesthesiologist Assistant | 1775 W. Hibiscus Blvd., Ste 215, Melbourne, FL 32901 | 2020-08-09 |
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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 Code | 103TC1900X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Counseling |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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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 |
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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.