DR. EDWARD A WISE (NPI# 1760544316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760544316 |
| Entity Type | Individual |
| Full Name | DR. EDWARD A WISE |
| Credential | PHD |
| Practice Address |
1037 Cresthaven Rd Memphis TN 38119-3833 |
| Practice Telephone | 9016826136 |
| Practice Fax Number | 9016827136 |
| Mailing Telephone | 9016826136 |
| Mailing Fax Number | 9016827136 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2010-10-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
P0000000781 | TN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134233935 | Edward M Wise Sr. | Dentist | 1090 Ribaut Rd, Beaufort, SC 29902-5437 | 2006-08-18 |
| 1639153430 | Edward Mccray Wise Jr. | Dentist | 112 Saluda Ridge Ct Ste 400, West Columbia, SC 29169-3461 | 2005-12-05 |
| Street Address |
1037 CRESTHAVEN RD |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38119-3833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558359463 | William Fleming Mealer | Psychologist | 1037 Cresthaven Rd, Memphis, TN 38119-3833 | 2005-10-13 |
| 1750856522 | Reisha Jack | Counselor | 1037 Cresthaven Rd, Memphis, TN 38119-3833 | 2018-10-09 |
| 1083136246 | Michaela M Jamieson | Counselor | 1037 Cresthaven Rd, Memphis, TN 38119-3833 | 2017-07-10 |
| 1417300070 | Nina Serman | Counselor | 1037 Cresthaven Rd, Memphis, TN 38119-3833 | 2016-07-19 |
| 1801191465 | Marchelle Stepherson | Counselor | 1037 Cresthaven Rd, Memphis, TN 38119-3833 | 2011-01-12 |
| 1043514847 | Valerie Shaw | Social Worker | 1037 Cresthaven Rd, Memphis, TN 38119-3833 | 2011-01-07 |
| 1356667190 | Carolyn P Jones | Social Worker | 1037 Cresthaven Rd, Memphis, TN 38119-3833 | 2010-04-19 |
| 1952502445 | Mealer Psychological,pllc | Psychologist | 1037 Cresthaven Rd, Memphis, TN 38119-3833 | 2007-05-30 |
| 1891842225 | Tony D. Mcanally | Social Worker | 1037 Cresthaven Rd, Memphis, TN 38119-3833 | 2007-01-05 |
| 1467515312 | Gay B. Moskowitz | Social Worker | 1037 Cresthaven Rd, Memphis, TN 38119-3833 | 2006-12-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417469628 | Jojuan Fullwiley | Behavioral Analyst | 6685 Quince Rd Ste 116, Memphis, TN 38119 | 2017-10-27 |
| 1336675297 | Jill Budynas Depriest | Counselor | 5583 Murray Ave Ste 203, Memphis, TN 38119 | 2017-05-11 |
| 1396279220 | Glen Matthew Stamps Jr. | Counselor | 5583 Murray Ave Ste 207, Memphis, TN 38119 | 2017-04-18 |
| 1598117442 | Hazel Aberdeen | Chiropractor | 1911 Memphis Tennessee, Memphis, TN 38119 | 2016-07-04 |
| 1831569060 | E-c-t Non Emergency Medical Transport | Non-emergency Medical Transport (VAN) | 6869 Woodlake Dr, Memphis, TN 38119 | 2015-09-30 |
| 1053781617 | Astrid Roman | Dietitian, Registered | 8020 Hillside Cv, Memphis, MS 38119 | 2015-09-25 |
| 1467857664 | Allan Jacob Katz | Counselor | 5668 Rex Rd, Suite 104, Memphis, TN 38119 | 2014-10-30 |
| 1962836015 | Judy Ann Harrick | Acupuncturist | 5575 Poplar Ave., #702, Memphis, TN 38119 | 2013-08-26 |
| 1366791949 | Jennifer Denyes Bidelman | Audiologist | 5625 Poplar Avenue, Memphis, TN 38119 | 2012-08-29 |
| 1578833620 | Elizabeth Mary Dion-douglass | Pharmacist | 2891 Kirby Parkway, Memphis, TN 38119 | 2012-01-06 |
| Find all providers in zip 38119 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447805031 | Jasmine Jones | Psychologist | 516 Tennessee St Ste 225, Memphis, TN 38103-4717 | 2019-08-09 |
| 1649768870 | River City Neuropsychology, Pllc | Psychologist | 1661 International Dr., Suite 400, Memphis, TN 38120 | 2018-04-24 |
| 1265950919 | Memphis Center for Mindful Living, LLC | Psychologist | 4646 Poplar Ave Ste 435, Memphis, TN 38117-4443 | 2017-09-01 |
| 1053869354 | Kimberly Noel Fleming | Psychologist | 512 Alexander St, Memphis, TN 38111-4310 | 2016-09-14 |
| 1003230350 | Kyong Han | Psychologist | 6401 Poplar Ave Ste 420, Memphis, TN 38119-4806 | 2014-02-06 |
| 1578997615 | William Leslie Fulliton | Psychologist | 1407 Union Ave Ste 1407, Memphis, TN 38104 | 2013-08-26 |
| 1073862827 | Joann Paula Raby | Psychologist | 5119 Summer Ave Ste 233, Memphis, TN 38122-4417 | 2012-09-06 |
| 1922236546 | Robert Allen Neimeyer | Psychologist | Department of Psychology 400 Innovation Dr, University of Memphis, Memphis, TN 38152-3230 | 2009-06-23 |
| 1477753564 | Meghan Eileen Mcdevitt-murphy | Psychologist | 202 Psychology Bldg, University of Memphis, Memphis, TN 38152-3230 | 2007-07-18 |
| 1508086976 | Charlotte L Kennedy | Psychologist | 4953 W Old Farm Rd, Memphis, TN 38125-3706 | 2007-04-26 |
| Find all providers in MEMPHIS | ||||
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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.