Active NPI
James Howard Wise, PH.D.
- Psychologist
- Bowie, MD
National Provider Identifier
1023199643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 00788
- Practice address
- 14300 Gallant Fox LN
Suite 211
Bowie, MD 20715-4003 - Phone
- (301) 262-2828
- Fax
- (301) 262-2828
- NPI assigned
- Oct 18, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 00788 | MD | Primary |
Addresses
Primary practice location
14300 Gallant Fox LN
Suite 211
Bowie, MD 20715-4003
Mailing address
14300 Gallant Fox LN
Suite 211
Bowie, MD 20715-4003
Phone (301) 262-2828
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 344601800 | Medicaid | MD |
Other names 1
- Dr. James H. Wise
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00788 | MD | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wise and Wise, L.L.P. | Psychologist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychologist
- Bowie, MD
- NPI 1326314600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1023199643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14300 GALLANT FOX LN",
"address_2": "SUITE 211",
"city": "BOWIE",
"state": "MD",
"postal_code": "207154003",
"telephone_number": "301-262-2828",
"fax_number": "301-262-2828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14300 GALLANT FOX LN",
"address_2": "SUITE 211",
"city": "BOWIE",
"state": "MD",
"postal_code": "207154003",
"telephone_number": "301-262-2828",
"fax_number": "301-262-2828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WISE",
"first_name": "JAMES",
"middle_name": "HOWARD",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MD",
"license": "00788",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "344601800",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JAMES",
"last_name": "WISE",
"middle_name": "H.",
"prefix": "DR.",
"credential": ".PH.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Bowie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.