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DR. BONNIE NELL WISE PH.D.
NPI 1053537712
Psychologist - Clinical in Long Beach, CA

Active since April 18, 2007PECOS EnrolledAccepts Medicare Assignment
3353 LINDEN AVE, LONG BEACH, CA 90807(562) 596-4002 Get Directions Write a Review

NPPES record last updated: March 22, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Bonnie Nell Wise Ph.d. NPPES

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

DR. BONNIE NELL WISE PH.D. (NPI 1053537712) is an individual clinical provider in Long Beach, California, licensed in California (PSY14213) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1992).

NPPES Registry Identity

NPI1053537712
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. BONNIE NELL WISECredential: PH.D.
Location Address3353 LINDEN AVELong Beach, CA 90807-4503
Mailing Address630 Obispo AveLong Beach, CA 90814-1447 · (562) 596-4002
Phone(562) 596-4002
Sole ProprietorYes
Medical School CMSOtherGraduated 1992
Enumeration DateApril 18, 2007
Last NPPES UpdateMarch 22, 2025
NPPES CertifiedMarch 22, 2025
✔ NPI 1053537712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · PSY14213
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
3353 LINDEN AVE, Long Beach, CA 90807
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Bonnie Nell Wise Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4486122546
PECOS Enrollment IDI20260506003495
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90807 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$187.60 typical visit price
range $62.96 – $187.60
Typical copayment $46.90 (range $15.74 – $46.90)
Most-billed visit code 99205
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Bonnie Wise's NPI number?

The NPI number for Bonnie Wise is 1053537712. It was assigned to this individual provider in the NPPES registry on April 18, 2007.

Where is Bonnie Wise located?

Bonnie Wise practices at 3353 Linden Ave, Long Beach, CA 90807. The listed phone number is (562) 596-4002.

What is Bonnie Wise's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Bonnie Wise enrolled in Medicare?

Yes. Bonnie Wise is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Bonnie Wise accept?

Health plans from Providence Health Plan list Bonnie Wise as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bonnie Wise was last updated on March 22, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.