NPIMap

Organization Active NPI

Wisechoice Multispecialty Clinic

  • Psychiatric/Mental Health Nurse Practitioner
  • Germantown, MD
National Provider Identifier
1033970124
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
WISECHOICE MULTISPECIALTY CLINIC
Practice address
12410 Milestone Center Dr Ste 600
Germantown, MD 20876-7102
Phone
(240) 344-2122
NPI assigned
Jan 17, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Eveline Gwaabe, PMHNPNPI 1659813483
Title
Owner
Phone
(443) 367-8686

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

12410 Milestone Center Dr Ste 600
Germantown, MD 20876-7102

Mailing address

12410 Milestone Center Dr Ste 600
Germantown, MD 20876-7102
Phone (240) 344-2122

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1705449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764806400000",
    "number": "1033970124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12410 MILESTONE CENTER DR STE 600",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208767102",
            "telephone_number": "240-344-2122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12410 MILESTONE CENTER DR STE 600",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208767102",
            "telephone_number": "240-344-2122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISECHOICE MULTISPECIALTY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-17",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A",
        "authorized_official_last_name": "GWAABE",
        "authorized_official_first_name": "EVELINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-367-8686",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.