Organization Active NPI

Wise Psychology LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Pittsburgh, PA
National Provider Identifier
1114642444
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
WISE PSYCHOLOGY LLC
Practice address
201 Penn Center Blvd Ste 555
Pittsburgh, PA 15235-5442
Phone
(412) 235-8210
NPI assigned
Oct 10, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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

Authorized official

Name
Dr. Jaclynn Wise, PSYDNPI 1164859641
Title
Owner
Phone
(412) 235-8210

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

201 Penn Center Blvd Ste 555
Pittsburgh, PA 15235-5442

Mailing address

201 Penn Center Blvd Ste 555
Pittsburgh, PA 15235-5442
Phone (412) 235-8210

National Provider Directory

National Provider Directory

Locations

201 Penn Center Blvd
Ste 555
Pittsburgh, PA 15235
Phone (412) 231-0334

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": "1665360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745366400000",
    "number": "1114642444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 PENN CENTER BLVD STE 555",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152355442",
            "telephone_number": "412-235-8210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 PENN CENTER BLVD STE 555",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152355442",
            "telephone_number": "412-235-8210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISE PSYCHOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-10",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A",
        "authorized_official_last_name": "WISE",
        "authorized_official_first_name": "JACLYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "412-235-8210",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.