JILLIAN WISE (NPI# 1740738301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740738301 |
| Entity Type | Individual |
| Full Name | JILLIAN WISE |
| Credential | PHD |
| Practice Address |
880 6th St S Suite 420 St Petersburg FL 33701-4827 |
| Mailing Address |
234 3rd Ave N #203 St Petersburg FL 33701-3322 |
| Practice Telephone | 7277678477 |
| Mailing Telephone | 5746125293 |
| Enumeration Date | 2016-09-13 |
| Last Update Date | 2016-09-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | Behavioral Health & Social Service Providers |
| Street Address |
880 6TH ST S SUITE 420 |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33701-4827 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104815893 | Troy A Becker | Genetic Counselor, MS | 880 6th St S, Suite 240, St Petersburg, FL 33701-4827 | 2005-10-17 |
| 1538702550 | Julie Paproski | Speech-Language Pathologist | 880 6th St S, St Petersburg, FL 33701-4827 | 2019-10-22 |
| 1326600107 | Sarah Stromberg | Psychologist | 880 6th St S, St Petersburg, FL 33701-4827 | 2019-07-02 |
| 1306314430 | Alyssa Fritz | Psychologist | 880 6th St S, St Petersburg, FL 33701-4827 | 2018-11-07 |
| 1801373113 | Larisa Helene Trach | Physical Therapist | 880 6th St S, St Petersburg, FL 33701-4827 | 2018-07-19 |
| 1528553104 | Ragan Jones | Speech-Language Pathologist | 880 6th St S, St Petersburg, FL 33701-4827 | 2018-06-26 |
| 1780199778 | Alison Giovannetti | Physical Therapist | 880 6th St S, St Petersburg, FL 33701-4827 | 2017-12-12 |
| 1164935680 | Breanna Howell | Occupational Therapist | 880 6th St S, St Petersburg, FL 33701 | 2017-11-06 |
| 1033589874 | Jason Woodell | Physical Therapy Assistant | 880 6th St S, St Petersburg, FL 33701-4827 | 2015-10-06 |
| 1932578168 | Christine Riccio | Occupational Therapy Assistant | 880 6th St S, St Petersburg, FL 33701-4827 | 2015-09-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013514603 | Tien Thuy Hoang | Pharmacist | 875 Dr M.l.k. Jr St N, St. Petersburg, FL 33701 | 2020-10-06 |
| 1851920953 | Michelle Tedrowe | Student in an Organized Health Care Education/Training Program | Bayfront Health St Petersburg Family Care Center, 700 6th Street South, St. Petersburg, FL 33701 | 2020-04-02 |
| 1164070264 | Melissa Joy Fitzpatrick | Occupational Therapist | 239 14 Ave Ne, St Petersburg, FL 33701 | 2019-09-01 |
| 1841763091 | William Carpenter Scott | Dentist | 239 2nd Ave S # 100, St Petersburg, FL 33701 | 2019-01-09 |
| 1992289318 | Westminster Senior Services, Inc. | Registered Nurse | 830 North Shore Dr. Ne, St. Petersburg, FL 33701 | 2018-09-21 |
| 1265929780 | B&b Florida Eye Care Pllc | Optometrist | 1380 4th St N, St. Petersburg, FL 33701 | 2018-04-19 |
| 1730684895 | Loraine Marie Torres Garcia | Student in an Organized Health Care Education/Training Program | Bayfront Health St Petersburg, 700 6th Street South, St Petersburg, FL 33701 | 2018-03-29 |
| 1598267445 | Vincent Malik Dehili | Psychologist | 146 2nd Street North, Suite 305, St. Petersburg, FL 33701 | 2018-03-07 |
| 1770083073 | Megan Sanborn | Nurse Practitioner | 601 5th St S Ste 304, St Petersburg, FL 33701 | 2018-02-14 |
| 1174037089 | Julius Griffin | Licensed Practical Nurse | 1115 Highland St N, Apt B, Saint Petersburg, FL 33701 | 2017-11-30 |
| Find all providers in zip 33701 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215284856 | Sakina Mykea Butt | Clinical Neuropsychologist | 880 6th St S Ste 420, St Petersburg, FL 33701-4825 | 2012-08-14 |
| 1073834354 | Jennifer Margaret Katzenstein | Clinical Neuropsychologist | 880 6th St S, Suite 420, St Petersburg, FL 33701-4827 | 2010-06-21 |
| 1053526160 | Ray L. Bowman, Ph.d., P.a. | Clinical Neuropsychologist | 6740 Crosswinds Dr N, Suite H, St Petersburg, FL 33710-8606 | 2007-05-11 |
| 1437378890 | Ray Lee Bowman | Clinical Neuropsychologist | 6740 Crosswinds Dr N, Suite H, St Petersburg, FL 33710-8606 | 2007-04-24 |
| 1598983629 | Veronica L. Clement Ph.d. Pa | Clinical Neuropsychologist | 601 7th St S, Neuropsychology, St Petersburg, FL 33701-4704 | 2007-04-23 |
| 1801913488 | Veronica Lucie Clement | Clinical Neuropsychologist | 1201 5th Ave N, Ste. 204, St Petersburg, FL 33705-1400 | 2007-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912512831 | Joshua Rooks, Phd, LLC | Clinical Neuropsychologist | 7328 Jacaranda Ln, Miami Lakes, FL 33014-2670 | 2020-09-09 |
| 1457978991 | Renew Psychiatric Care, LLC | Clinical Neuropsychologist | 3170 N Federal Hwy Ste 206b, Lighthouse Point, FL 33064-6720 | 2020-07-01 |
| 1871110460 | Thoughtwise LLC | Clinical Neuropsychologist | 2840 Remington Green Cir Ste 3, Tallahassee, FL 32308-1518 | 2020-06-29 |
| 1093338451 | Krizia Amy Vinck | Clinical Neuropsychologist | 1150 Nw 14th St, Miami, Fl 33136, Miami, FL 33136 | 2020-05-20 |
| 1124667795 | Jennifer Ann Barton | Clinical Neuropsychologist | 3411 Day Ave, Miami, FL 33133-5030 | 2019-12-31 |
| 1952947434 | Dagmar E Nunez | Clinical Neuropsychologist | 1351 Seagrape Cir, Weston, FL 33326-2726 | 2019-11-20 |
| 1821632779 | Joshua Daniel Rooks | Clinical Neuropsychologist | 6520 Miami Lakeway S, Miami Lakes, FL 33014-2747 | 2019-11-04 |
| 1427605088 | Global Wellness LLC | Clinical Neuropsychologist | 1560 Sawgrass Corporate Parkway #447, Sunrise, FL 33323 | 2019-08-19 |
| 1528627882 | Anchor Multispecialty Group | Clinical Neuropsychologist | 850 S Palafox St Unit 103, Pensacola, FL 32502-5983 | 2019-06-11 |
| 1639736473 | Aldrich Chan | Clinical Neuropsychologist | 2601 Sw 37th Ave Ste 703, Coral Gables, FL 33133-2750 | 2019-05-28 |
| Find all providers with the same taxonomy | ||||
| City | ST PETERSBURG |
| Zip Code | 33701 |
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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.