DAVID WISE PH.D.
NPI 1265669212
Psychologist in Sebastopol, CA

Active since June 17, 2009
12470 FIORI LANE, SEBASTOPOL, CA 95472(707) 874-2225 Get Directions Write a Review

NPPES record last updated: June 17, 2009. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About David Wise Ph.d. NPPES

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

DAVID WISE PH.D. (NPI 1265669212) is an individual psychologist in Sebastopol, California, licensed in California (PSY4050) and active in the NPI registry since June 2009.

NPPES Registry Identity

NPI1265669212
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDAVID WISECredential: PH.D.
Location Address12470 FIORI LANESebastopol, CA 95472
Mailing Address12470 Fiori LaneSebastopol, CA 95472 · (707) 874-2225
Sole ProprietorYes
Enumeration DateJune 17, 2009
NPI 1265669212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in CA · PSY4050
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
12470 FIORI LANE, Sebastopol, CA 95472

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 David Wise's NPI number?

The NPI number for David Wise is 1265669212. It was assigned to this individual provider in the NPPES registry on June 17, 2009.

Where is David Wise located?

David Wise practices at 12470 Fiori Lane, Sebastopol, CA 95472. The listed phone number is (707) 874-2225.

What is David Wise's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for David Wise was last updated on June 17, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.