DR. SHELLEY D WISE (NPI# 1578566451) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578566451 |
| Entity Type | Individual |
| Full Name | DR. SHELLEY D WISE |
| Credential | D.C. |
| Practice Address |
245 Crossroads Blvd Carmel CA 93923-8650 |
| Practice Telephone | 8313730985 |
| Practice Fax Number | 8316200711 |
| Mailing Telephone | 8313730985 |
| Mailing Fax Number | 8316200711 |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2018-09-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
R1318520818 | CA | Behavioral Health & Social Service Providers |
| N | 111N00000X | Chiropractor | DC20443 | CA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CIGNA | 7703084230006 | 01 |
| CA | BLUE CROSS | 770308423 | 01 |
| CA | BLUE SHIELD | DC0204430 | 01 |
| Street Address |
245 CROSSROADS BLVD |
| City | CARMEL |
| State | CA |
| Zip Code | 93923-8650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427577519 | Megan Elise Danley | Physical Therapist | 245 Crossroads Blvd, Carmel, CA 93923-8650 | 2017-09-11 |
| 1639695562 | Melissa Rae Gunner | Physical Therapist | 245 Crossroads Blvd, Carmel, CA 93923-8650 | 2017-08-22 |
| 1215281803 | Ashley Nichole Boyer | Physical Therapist | 245 Crossroads Blvd, Carmel, CA 93923-8650 | 2012-11-03 |
| 1285982033 | Carrie L Robinson | Physical Therapist | 245 Crossroads Blvd, Carmel, CA 93923-8650 | 2012-08-28 |
| 1083866495 | Susan B Rabourn | Physical Therapist | 245 Crossroads Blvd, Carmel, CA 93923-8650 | 2008-10-16 |
| 1275790115 | Ronald Lawrence Brenner | Chiropractor | 245 Crossroads Blvd, Carmel, CA 93923-8650 | 2008-05-19 |
| 1891750295 | Amy Elizabeth Altshuler | Physical Therapist | 245 Crossroads Blvd, Carmel, CA 93923-8650 | 2006-04-19 |
| 1215992375 | Claire Ann Kristl | Physical Therapist | 245 Crossroads Blvd, Carmel, CA 93923-8650 | 2006-04-19 |
| 1013903442 | Horace J Ferrante Jr. | Physical Therapist | 245 Crossroads Blvd, Carmel, CA 93923-0000 | 2005-09-21 |
| 1003819988 | Carmel Orthopedic & Sports Therapy | Physical Therapist | 245 Crossroads Blvd, Carmel, CA 93923-8650 | 2005-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114569316 | Jennifer Dee Johnson | Midwife | 38785 Palo Colorado Rd, Carmel, CA 93923 | 2019-10-09 |
| 1144719568 | Irvin Steven Siglin IIi | Massage Therapist | 27820 Dorris Drive, Suite 202, Carmel-by-the-sea, CA 93923 | 2018-05-02 |
| 1326407743 | Rick Hwang | Pharmacist | 6 The Crossroads, Carmel-by-the-sea, CA 93923 | 2016-02-12 |
| 1891104279 | Home Heart & Health | Custodial Care Facility | 10172 Oakwood Cir, Carmel, CA 93923 | 2014-08-11 |
| 1275822892 | Cheryl Trotter Robertson | Marriage & Family Therapist | 3785 Via Nona Marie, Suite #300, Carmel, CA 93923 | 2011-04-05 |
| 1174738447 | Kristine Belnap Jensen | Social Worker | 24753 Upper Trail, Carmel, CA 93923 | 2007-05-11 |
| 1154459204 | Francine Marie Michaels | Chiropractor | 26135 Carmel Rancho Blvd Ste F24, Carmel, CA 93923 | 2007-03-01 |
| 1407937139 | Carl Ramond Bergstrom | Internal Medicine | 26366 Carmel Rancho Lane, Ste H, Carmel, CA 93923 | 2006-10-18 |
| 1699861716 | Susan Victoria Jones | Marriage & Family Therapist | 3533 Lazarro Dr, Carmel, CA 93923 | 2006-10-05 |
| 1184739757 | Alejandro Francisco Centurion | Psychiatry & Neurology | 100 Clock Tower Place, Suite 225, Carmel, CA 93923 | 2006-08-21 |
| Find all providers in zip 93923 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932746997 | Jessica Bruno | Counselor | 26 Old Route 6, Carmel, NY 10512-2107 | 2019-12-09 |
| 1346726361 | Mercedes Royletta Horace | Counselor | 2237 E 151st St Apt 11, Carmel, IN 46033-7783 | 2018-07-12 |
| 1063964732 | June Michele Mikels | Counselor | 90 Executive Dr, Suite A, Carmel, IN 46032-2611 | 2016-10-28 |
| 1386906469 | Sinead M Macnamara-murphy | Counselor | 64 Gleneida Ave, Suite 206, Carmel, NY 10512-1221 | 2012-06-13 |
| 1659989572 | Arthur W Adams | Counselor | 12265 Hancock St Ste 42, Carmel, IN 46032-5892 | 2020-07-16 |
| 1689294415 | Michele Villanova | Counselor | 21 Old Route 6, Carmel, NY 10512-2107 | 2020-04-22 |
| 1538788765 | Barbara Naccari-mueller | Counselor | 1808 Route 6, Carmel, NY 10512-2356 | 2020-04-08 |
| 1578190575 | Willie Scott | Counselor | 21 Old Route 6, Carmel, NY 10512-2107 | 2020-03-27 |
| 1811521206 | Danielle Reed | Counselor | 21 Old Route 6, Carmel, NY 10512-2107 | 2020-02-25 |
| 1710519384 | Elizabeth Smith | Counselor | 21 Old Route 6, Carmel, NY 10512-2107 | 2020-02-11 |
| Find all providers in CARMEL | ||||
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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.