Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

IRENE CRISTINA WISE LP
NPI 1699515379
Psychologist - Clinical in Blaine, WA

Active since May 29, 2024

NPPES record last updated: June 29, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Irene Cristina Wise Lp NPPES

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

IRENE CRISTINA WISE LP (NPI 1699515379) is an individual clinical provider in Blaine, Washington, licensed in Washington (PY61549569) and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1699515379
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameIRENE CRISTINA WISECredential: LP
Location AddressPO BOX 69Blaine, WA 98231-0069
Mailing AddressPo Box 69Blaine, WA 98231-0069 · (425) 321-1242
Sole ProprietorYes
Enumeration DateMay 29, 2024
Last NPPES UpdateJune 29, 2026
NPPES CertifiedJune 29, 2026
NPI 1699515379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Licenses Licensed in WA · PY61549569 Licensed in CA · PSY31119
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.

PO BOX 69, Blaine, WA 98231

Accepted Insurance

Other Providers at the Same Location NPPES

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

Counselor (Mental Health)
PO BOX 69
BLAINE, WA 98231

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1699515379, enumerated as an "individual" on May 29, 2024.

The provider is located at PO BOX 69 BLAINE, WA 98231 and the phone number is (425) 321-1242.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.

The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska. Please consult your insurance carrier or call the provider to verify.