1. Home
  2. Directory
  3. Missouri
  4. Kansas City
  5. Psychologist
  6. NPI Profile

JUSTIN M WISEMAN PSY.D.
NPI 1073159539
Psychologist - Clinical in Kansas City, MO

Active since November 20, 2019
401 E 19TH ST APT 1405, KANSAS CITY, MO 64108(314) 255-9594 Get Directions Write a Review

NPPES record last updated: March 24, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 24, 2021, Dec 16, 2020, Nov 21, 2019 (3 updates tracked since 2019).

About Justin M Wiseman Psy.d. NPPES

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

JUSTIN M WISEMAN PSY.D. (NPI 1073159539) is an individual clinical provider in Kansas City, Missouri, licensed in Missouri (2018037238) and active in the NPI registry since November 2019. He maintains 3 additional practice locations.

NPPES Registry Identity

NPI1073159539
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameJUSTIN M WISEMANCredential: PSY.D.
Location Address401 E 19TH ST APT 1405Kansas City, MO 64108-1791
Mailing Address401 E 19th St Apt 1405Kansas City, MO 64108-1791 · (314) 255-9594
Phone(314) 255-9594
Sole ProprietorNo
Enumeration DateNovember 20, 2019
Last NPPES UpdateMarch 24, 20213 updates tracked since enumeration
NPPES CertifiedMarch 24, 2021
✔ NPI 1073159539 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 MO · 2018037238
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.
401 E 19TH ST APT 1405, Kansas City, MO 64108
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1303 N Stadium Blvd Ste 200Columbia, MO 65203-1429 · Phone (314) 255-9594
Location 2600 E 5th StFulton, MO 65251-1753 · Phone (573) 592-4100
Location 31300 Metropolitan AveLeavenworth, KS 66048-1254 · Phone (314) 255-9594

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 Justin Wiseman's NPI number?

The NPI number for Justin Wiseman is 1073159539. It was assigned to this individual provider in the NPPES registry on November 20, 2019.

Where is Justin Wiseman located?

Justin Wiseman practices at 401 E 19th St Apt 1405, Kansas City, MO 64108. The listed phone number is (314) 255-9594.

What is Justin Wiseman's specialty?

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

When was this NPI record last updated?

The NPPES record for Justin Wiseman was last updated on March 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.