DANIEL L WISE, PH.D., PA
NPI 1528636511
Psychologist - Clinical in Edina, MN

Q: What is Daniel L Wise, Ph.D., PA's NPI number?

The NPI number for Daniel L Wise, Ph.D., PA is 1528636511. It was assigned to this organization in the NPPES registry on June 15, 2021.

Q: What is Daniel L Wise, Ph.D., PA's specialty?

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

Active since June 15, 2021

5200 WILLSON RD STE 205, EDINA, MN 55424(612) 875-4449 Get Directions Write a Review

NPPES record last updated: August 24, 2021. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Aug 24, 2021, Jun 15, 2021 (2 updates tracked since 2021).

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About Daniel L Wise, Ph.d., Pa NPPES

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

DANIEL L WISE, PH.D., PA (NPI 1528636511) is a healthcare organization registered as a clinical in Edina, Minnesota and active in the NPI registry since June 2021. The organization maintains a secondary practice location in Minneapolis and lists Daniel Wise, President/licensed Psychologist, as its authorized official.

NPPES Registry Identity

NPI1528636511

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameDANIEL L WISE, PH.D., PA

Location Address5200 WILLSON RD STE 205Edina, MN 55424-1343

Mailing Address5200 Willson Rd Ste 205Minneapolis, MN 55424-1343 · (612) 875-4449

Phone(612) 875-4449

Organization SubpartNo

Authorized OfficialDaniel WisePresident/licensed Psychologist · (612) 875-4449

Enumeration DateJune 15, 2021

Last NPPES UpdateAugust 24, 20212 updates tracked since enumeration

NPPES CertifiedAugust 24, 2021

✔ NPI 1528636511 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.

5200 WILLSON RD STE 205, Edina, MN 55424

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Secondary Practice Location 1

Location 132 18th Ave NEMinneapolis, MN 55418-4202 · Phone (612) 875-4449

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 SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DANIEL LYNN WISE PHD, LP

Psychologist (Clinical)

5200 WILLSON RD STE 205
EDINA, MN 55424

Hennepin County (612) 875-4449

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 Daniel L Wise, Ph.D., PA's NPI number?

The NPI number for Daniel L Wise, Ph.D., PA is 1528636511. It was assigned to this organization in the NPPES registry on June 15, 2021.

Where is Daniel L Wise, Ph.D., PA located?

Daniel L Wise, Ph.D., PA is located at 5200 Willson Rd Ste 205, Edina, MN 55424. The listed phone number is (612) 875-4449.

What is Daniel L Wise, Ph.D., PA'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 Daniel L Wise, Ph.D., PA was last updated on August 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.