Jaclynn Cosan Wise, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS019640 Issued in PA

Practice address

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

Phone

(412) 235-8210

Fax

(878) 999-2920

NPI assigned

Sep 30, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Wise Psychology LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Pittsburgh, PA
  • NPI 1114642444
  NPD Authorized official

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

{
    "created_epoch": "1380499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1164859641",
    "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",
            "fax_number": "878-999-2920"
        },
        {
            "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",
            "fax_number": "878-999-2920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISE",
        "first_name": "JACLYNN",
        "middle_name": "COSAN",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-30",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS019640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tessa Wirt, AUD
• Kaylyn Wirth, PA-C
• Robert Jude Wirth, RN
• Stefanie A. Wisda
• Wise Psychology LLC
• Olivia Wishman
• Carole Louise Wiskeman, CRNP
• Valerie Wislo
• Katherine L Wisner, MD
• Francis A Wisniewski, D.C.

• Psychologist in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Psychologist in Pennsylvania

• 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.