MICHAEL WISEMAN
NPI 1003747692
Nurse Practitioner - Psychiatric/Mental Health in Clinton, CT

Active since May 25, 2026
4 CHRISTOPHER LN, CLINTON, CT 06413(203) 200-8537 Get Directions Write a Review

NPPES record last updated: May 25, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael Wiseman NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL WISEMAN (NPI 1003747692) is an individual psychiatric/mental health provider in Clinton, Connecticut, licensed in Connecticut (12.017450) and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1003747692
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMICHAEL WISEMAN
Location Address4 CHRISTOPHER LNClinton, CT 06413-1830
Mailing Address4 Christopher LnClinton, CT 06413-1830 · (203) 200-8537
Sole ProprietorYes
Enumeration DateMay 25, 2026
NPPES CertifiedMay 25, 2026
NPI 1003747692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in CT · 12.017450
4 CHRISTOPHER LN, Clinton, CT 06413

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Wiseman's NPI number?

The NPI number for Michael Wiseman is 1003747692. It was assigned to this individual provider in the NPPES registry on May 25, 2026.

Where is Michael Wiseman located?

Michael Wiseman practices at 4 Christopher Ln, Clinton, CT 06413. The listed phone number is (203) 200-8537.

What is Michael Wiseman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Michael Wiseman was last updated on May 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.