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A WISERMIND LLC
NPI 1053619874
Psychologist - Clinical in Scottsdale, AZ

Active since March 02, 2011
20343 N HAYDEN RD # 105-446, SCOTTSDALE, AZ 85255(602) 930-8462 Get Directions Write a Review

NPPES record last updated: October 17, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About A Wisermind Llc NPPES

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

A WISERMIND LLC (NPI 1053619874) is a healthcare organization registered as a clinical in Scottsdale, Arizona and active in the NPI registry since March 2011. The organization maintains a secondary practice location in Scottsdale and lists Daniel E Kostelnik, Vice President, as its authorized official.

NPPES Registry Identity

NPI1053619874
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameA WISERMIND LLC
Location Address20343 N HAYDEN RD # 105-446Scottsdale, AZ 85255-3876
Mailing Address6000 E Evans, Bldg 3 Ste 100Denver, CO 80222 · (303) 951-4323 · Fax (877) 926-0262
Phone(602) 930-8462
Organization SubpartNo
Authorized OfficialDaniel E KostelnikVice President · (303) 946-5003
Enumeration DateMarch 2, 2011
Last NPPES UpdateOctober 17, 2018
✔ NPI 1053619874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
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.
20343 N HAYDEN RD # 105-446, Scottsdale, AZ 85255
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Secondary Practice Location 1

Location 18902 E Via Linda, #110-163Scottsdale, AZ 85258-5416 · Phone (303) 951-4323 · Fax (877) 926-0262

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 MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

A Wisermind Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to A Wisermind LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (7)

Lindsay Werkheiser, PSYD
Clinical Psychologist
NPI 1386894673
2601 E ROOSEVELT ST
Phoenix, AZ 85008
(602) 344-5011
✔ PECOS16 mi
Robin Abel, PH.D.
Clinical Psychologist
NPI 1912119579
1025 N COUNTRY CLUB DR
Mesa, AZ 85201
(480) 472-0502
✔ PECOS✔ Accepts Medicare17 mi
Crista Bishop, PH.D.
Clinical Psychologist
NPI 1881715175
1025 N COUNTRY CLUB DR
Mesa, AZ 85201
(480) 472-2400
✔ PECOS17 mi
Teresa Schafer, LMSW
Clinical Social Worker
NPI 1508885146
2149 N 88TH ST
Mesa, AZ 85207
(906) 235-8593
✔ PECOS✔ Accepts Medicare21 mi
Daniel James, LPC
Mental Health Counselor
NPI 1760178602
1177 E REDFIELD RD
Tempe, AZ 85283
(602) 722-3993
✔ PECOS22 mi
Pamela Miller, LCSW
Clinical Social Worker
NPI 1134446800
1800 W ELLIOT RD #143
Chandler, AZ 85224
(480) 345-3977
✔ PECOS✔ Accepts Medicare22 mi
Jody Ortman, PSY.D
Clinical Psychologist
NPI 1598214066
1455 DIXON AVE
Lafayette, CO 80026
(303) 443-8500
✔ PECOS576 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 A Wisermind LLC's NPI number?

The NPI number for A Wisermind LLC is 1053619874. It was assigned to this organization in the NPPES registry on March 2, 2011.

Where is A Wisermind LLC located?

A Wisermind LLC is located at 20343 N Hayden Rd # 105-446, Scottsdale, AZ 85255. The listed phone number is (602) 930-8462.

What is A Wisermind LLC's specialty?

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

Is A Wisermind LLC enrolled in Medicare?

Yes. A Wisermind LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through A Wisermind LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 3 Medicare specialties reassign their Medicare billing to A Wisermind LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Clinical Psychologist (4), Clinical Social Worker (2) and Mental Health Counselor (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for A Wisermind LLC was last updated on October 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.