Organization Active NPI

Wise Psychology Services, Inc.

  • Psychologist
  • Kentfield, CA
National Provider Identifier
1275394793
Registry record updated Jun 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
WISE PSYCHOLOGY SERVICES, INC.
Practice address
919 Sir Francis Drake Blvd Ste 201a
Kentfield, CA 94904-1535
Phone
(415) 226-6154
NPI assigned
Jan 22, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2025

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

Authorized official

Name
Dr. Karen Wise, PSYDNPI 1700058294
Title
Director
Phone
(415) 226-6154

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
Psychologist 103T00000X Primary

Addresses

Primary practice location

919 Sir Francis Drake Blvd Ste 201a
Kentfield, CA 94904-1535

Mailing address

919 Sir Francis Drake Blvd Ste 201a
Kentfield, CA 94904-1535
Phone (415) 209-5125

Other identifiers 1

IdentifierTypeStateIssuer
1700058294MedicaidCA

National Provider Directory

National Provider Directory

Locations

919 Sir Francis Drake Blvd
Ste 201A
Kentfield, CA 94904
Phone (415) 209-5125

1108 Tamalpais Ave
Ste A
San Rafael, CA 94901

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": "1705881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749168000000",
    "number": "1275394793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 SIR FRANCIS DRAKE BLVD STE 201A",
            "city": "KENTFIELD",
            "state": "CA",
            "postal_code": "949041535",
            "telephone_number": "415-209-5125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 SIR FRANCIS DRAKE BLVD STE 201A",
            "city": "KENTFIELD",
            "state": "CA",
            "postal_code": "949041535",
            "telephone_number": "415-226-6154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISE PSYCHOLOGY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-22",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A",
        "authorized_official_last_name": "WISE",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "415-226-6154",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1700058294",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kentfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.