DR. SANDRA ROBINSON WISE (NPI# 1609270545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609270545 |
| Entity Type | Individual |
| Full Name | DR. SANDRA ROBINSON WISE |
| Credential | PSY.D. |
| Practice Address |
2615 Lowell Cir Melbourne FL 32935-2216 |
| Practice Telephone | 3217490216 |
| Enumeration Date | 2014-10-21 |
| Last Update Date | 2014-10-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PY 5491 | FL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881997740 | Sandra J Wise | Massage Therapist | 6500 Hoochaneetsa Blvd, Cochiti Lake, NM 87083-6030 | 2010-12-15 |
| Street Address |
2615 LOWELL CIR |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32935-2216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407412018 | Aleecia Estime | Nurse Practitioner | 401 N Wickham Rd Ste S, Melbourne, FL 32935 | 2019-05-20 |
| 1669948261 | Lisa Marie Sarkees | Social Worker | 1503 Spring Drive, Melbourne, FL 32935 | 2018-10-22 |
| 1407355399 | Eugene Slaughter | Case Manager/Care Coordinator | 1600 W Eau Gallie Blvd. Suite 201 F, Melbourne, FL 32935 | 2018-02-06 |
| 1588173173 | Gregory M Mcdermand | Respiratory Therapist, Certified | 2745 Revolution St, Unit 101, Melbourne, FL 32935 | 2017-09-26 |
| 1386173649 | M Shami | Nurse Practitioner | 401 N Wickham Rd. Suite S, Melbourne, FL 32935 | 2017-06-08 |
| 1588102297 | Chiro Choice A Limited Liability Company | Clinic/Center | 1310 W Eau Galle Blvd Ste A, Melbourne, FL 32935 | 2017-02-02 |
| 1124574835 | A Loving Touch Private Home Care | Home Health | 1595 Palmwood Drive, Melbourne, FL 32935 | 2016-09-01 |
| 1538616099 | Pedro Triana Villamil | Specialist/Technologist, Other | 1600 Sarno Rd. Suite 15, Melbourne, FL 32935 | 2016-09-01 |
| 1528424132 | Lisa Forsythe | Acupuncturist | 1250 W. Eau Gallie Blvd., Suite H, Melbourne, FL 32935 | 2016-01-12 |
| 1528432028 | Harbor City Pharmacy Inc | Pharmacy | 503 Harbor City Blvd., Melbourne, FL 32935 | 2015-11-20 |
| Find all providers in zip 32935 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427535335 | Counseling and Assessment Center of Brevard Inc | Psychologist | 7155 Murrell Rd Ste 101, Melbourne, FL 32940-8258 | 2018-07-24 |
| 1821588625 | Walden Psychological Services, LLC | Psychologist | 3400 Willowwood Dr, Melbourne, FL 32904 | 2018-05-16 |
| 1083101570 | Jeffrey M Williamson Phd LLC | Psychologist | 3700 N Harbor City Blvd Ste 1d, Melbourne, FL 32935-5764 | 2018-04-19 |
| 1598131286 | Joseph Walden | Psychologist | 1370 Bedford Dr Ste 106, Melbourne, FL 32940-1993 | 2015-08-17 |
| 1437433828 | Haya Soya | Psychologist | 2312 S Babcock St, Melbourne, FL 32901-5308 | 2011-10-04 |
| 1184908790 | Sarah Marie Weinstein Arnett | Psychologist | 100 Rialto Pl Ste 756, Melbourne, FL 32901-3003 | 2011-09-30 |
| 1801019963 | Kathy D. Pearce | Psychologist | 729 S Apollo Blvd, Melbourne, FL 32901-1457 | 2007-04-10 |
| 1134213903 | Aliza Rosen, Psy.d.,p.a. | Psychologist | 1370 Bedford Dr, 106, Melbourne, FL 32940-1993 | 2006-10-03 |
| 1700970662 | Aliza Naomi Rosen | Psychologist | 1370 Bedford Dr Ste 102, Melbourne, FL 32940-1993 | 2006-10-03 |
| 1417064734 | B. Dawn Tepperman | Psychologist | 701 E Lincoln Ave, Melbourne, FL 32901-4646 | 2006-08-23 |
| Find all providers in MELBOURNE | ||||
Please comment or provide details below to improve the information on DR. SANDRA ROBINSON WISE.
| 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.