KATHLEEN MARIE WISE M.A., L.P.
NPI 1871581017
Psychologist in New Hope, MN

Active since October 12, 2005
7600 BASS LAKE RD, SUITE 106, NEW HOPE, MN 55428(612) 865-9143 Get Directions Write a Review

NPPES record last updated: July 16, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kathleen Marie Wise M.a., L.p. NPPES

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

KATHLEEN MARIE WISE M.A., L.P. (NPI 1871581017) is an individual psychologist in New Hope, Minnesota, licensed in Minnesota (LP3227) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1871581017
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameKATHLEEN MARIE WISECredential: M.A., L.P.
Location Address7600 BASS LAKE RD, SUITE 106New Hope, MN 55428-3860
Mailing Address205 Lily Pond CirLoretto, MN 55357-9654
Sole ProprietorYes
Enumeration DateOctober 12, 2005
Last NPPES UpdateJuly 16, 2010
NPI 1871581017 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 MN · LP3227
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.
7600 BASS LAKE RD, New Hope, MN 55428

Other Identifiers 2

Medicaid500526400MN
Medicare ID-Type Unspecified620000287

Other Providers at the Same Location NPPES 3

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

Massage Therapist
7600 BASS LAKE RD
NEW HOPE, MN 55428
Nursing Care
7600 BASS LAKE RD
NEW HOPE, MN 55428
Non-emergency Medical Transport (VAN)
7600 BASS LAKE RD, SUITE 101
NEW HOPE, MN 55428

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 Kathleen Wise's NPI number?

The NPI number for Kathleen Wise is 1871581017. It was assigned to this individual provider in the NPPES registry on October 12, 2005.

Where is Kathleen Wise located?

Kathleen Wise practices at 7600 Bass Lake Rd Suite 106, New Hope, MN 55428. The listed phone number is (612) 865-9143.

What is Kathleen 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 Kathleen Wise was last updated on July 16, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.