DR. MARK WISE PSY.D.
NPI 1477645471
Psychologist - Clinical in Columbus, GA

Active since September 28, 2006
3000 SCHATULGA RD BLDG 5, COLUMBUS, GA 31907(706) 568-5216(706) 562-1484 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Mark Wise Psy.d. NPPES

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

DR. MARK WISE PSY.D. (NPI 1477645471) is an individual clinical provider in Columbus, Georgia, licensed in Georgia (PSY000818) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1477645471
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. MARK WISECredential: PSY.D.
Location Address3000 SCHATULGA RD BLDG 5Columbus, GA 31907-3117
Mailing Address4989 Post Road PassStone Mountain, GA 30088-2007 · (770) 469-6754 · Fax (770) 498-4738
Fax(706) 562-1484
Sole ProprietorYes
Enumeration DateSeptember 28, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1477645471 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 GA · PSY000818
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.
3000 SCHATULGA RD BLDG 5, Columbus, GA 31907

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 Mark Wise's NPI number?

The NPI number for Mark Wise is 1477645471. It was assigned to this individual provider in the NPPES registry on September 28, 2006.

Where is Mark Wise located?

Mark Wise practices at 3000 Schatulga Rd Bldg 5, Columbus, GA 31907. The listed phone number is (706) 568-5216.

What is Mark Wise'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 Mark Wise was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.