DR. ROBERT GRAHAM WISE JR. (NPI# 1609420371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609420371 |
| Entity Type | Individual |
| Full Name | DR. ROBERT GRAHAM WISE JR. |
| Credential | MD |
| Practice Address |
10417 Riverside Dr Apt C Toluca Lake CA 91602-2466 |
| Practice Telephone | 3233770874 |
| Mailing Telephone | 3233770874 |
| Enumeration Date | 2019-07-30 |
| Last Update Date | 2019-07-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 645732717 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912391087 | Robert Wise | Hearing Instrument Specialist | 8416 Lockwood Ridge Rd, Sarasota, FL 34243-2903 | 2015-03-26 |
| 1184921538 | Robert Matthew Wise | Pharmacist | 4890 Cherokee St, Acworth, GA 30101-4902 | 2011-02-22 |
| 1518081488 | Robert Philip Wise | Preventive Medicine | 1612 Auburn Ave, Rockville, MD 20850-1144 | 2007-03-18 |
| 1558492637 | Robert Eugene Wise | Nurse Anesthetist, Certified Registered | 195 E Fiddlers Canyon Rd, Unit 14, Cedar City, UT 84720-8744 | 2007-03-08 |
| 1598802761 | Robert Boyd Wise | Chiropractor | 332 North Avenue, Garwood, NJ 07027 | 2007-01-30 |
| 1831126143 | Robert Lance Wise | Chiropractor | 9104 E 62nd St, Tulsa, OK 74133-6443 | 2006-06-26 |
| 1073037636 | Robert Arthur Wise | Psychiatry & Neurology | 122 S Michigan Ave Ste 1025, Chicago, IL 60603-6264 | 2017-07-26 |
| 1164851853 | Robert Wise | Pharmacist | 10725 Fort St, Omaha, NE 68134-1229 | 2013-11-04 |
| 1376857755 | Robert K Wise | Perfusionist | 500 University Dr, Hershey, PA 17033-2360 | 2010-07-28 |
| 1538354212 | Robert Clyde Wise | Chiropractor | 425 Market St, Williamsport, PA 17701-6345 | 2007-09-06 |
| Street Address |
10417 RIVERSIDE DR APT C |
| City | TOLUCA LAKE |
| State | CA |
| Zip Code | 91602-2466 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679112882 | Da Oum Remnant Acupuncture Corporation | Acupuncturist | 10674 Riverside Drive, North Hollywood, CA 91602 | 2020-01-06 |
| 1043704927 | Brandi Carter | Nurse Practitioner | 10222 Camarillo St Apt 107, Toluca Lake, CA 91602 | 2018-06-14 |
| 1669904587 | Katelyn Story Kalstein | Naturopath | 11650 Riverside Dr., Ph-2a, Studio City, CA 91602 | 2017-03-30 |
| 1255781118 | Karla Morales | Dental Hygienist | 10707 Camarillo St, #305, West Toluca Lake, CA 91602 | 2016-06-21 |
| 1457738536 | Mallory Garrett | Marriage & Family Therapist | 10737 Riverside Dr, N Hollywood, CA 91602 | 2015-04-28 |
| 1831590322 | Victoria J. Chan | Nurse Practitioner | 4418 Vineland Avenue Suite 102, Toluca Lake, CA 91602 | 2014-09-16 |
| 1679916076 | Richard Villasenor | Ophthalmology | 10520 Camarillo St, Toluca Lake, CA 91602 | 2013-04-16 |
| 1275878233 | Julissa Trusty | Marriage & Family Therapist | 11334 Camarillo St, North Hollywood, CA 91602 | 2012-12-03 |
| 1265789531 | Marina Serobyan | Marriage & Family Therapist | 10999 Riverside Drive, Suite 306, Toluca Lake, CA 91602 | 2012-08-06 |
| 1407133457 | Hearing Aid Counselors, Inc | Durable Medical Equipment & Medical Supplies | 11008 Riverside Dr, Toluca Lake, CA 91602 | 2011-11-04 |
| Find all providers in zip 91602 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972104628 | Ann Egan | Counselor | 207 Cole St, San Francisco, CA 94117-1915 | 2020-11-07 |
| 1821698887 | Ka Yin Emma Liu | Counselor | 1936 University Avenue, Partnerships for Trauma Recover, Suite 191, Berkeley, CA 94704 | 2020-10-29 |
| 1184224693 | Enrique L Hinojosa | Counselor | 817 S Fairmont Ave, Lodi, CA 95240-5116 | 2020-10-26 |
| 1760081376 | Annel Vianey Orduno | Counselor | 3517 Camino Del Rio South Suite 407, San Diego, CA 92108-4026 | 2020-10-23 |
| 1114526407 | David Arthur Lee | Counselor | 1819 Idaho Ave, Santa Monica, CA 90403-3301 | 2020-10-19 |
| 1235737271 | Jeannie Dulberg | Counselor | 540 Wagnon Rd, Sebastopol, CA 95472-9204 | 2020-10-12 |
| 1952909210 | Christopher Shirey | Counselor | 1618 Alhambra Blvd, Sacramento, CA 95816-7601 | 2020-10-09 |
| 1467059105 | Paul Benjamin Mannes | Counselor | 59922 La Brisa Dr, Yucca Valley, CA 92284-9351 | 2020-10-06 |
| 1689271454 | Skycare Cuidado Del Cielo LLC | Counselor | 7890 E Spring St Unit 10d, Long Beach, CA 90815-1622 | 2020-10-05 |
| 1396342135 | Lima Karim | Counselor | 4109 Broadmoor Cmn Apt 207, Fremont, CA 94538-7013 | 2020-10-05 |
| Find all providers with the same taxonomy | ||||
| City | TOLUCA LAKE |
| Zip Code | 91602 |
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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.