Active NPI
Matthew L. Wise, PSY.D.
- Psychologist
- Bethesda, MD
National Provider Identifier
1295949717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 04448
- Practice address
- 7330 Woodmont Ave
Bethesda, MD 20814-5354 - Phone
- (301) 652-3880
- NPI assigned
- May 10, 2007
- 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 | 04448 | MD | Primary |
Addresses
Primary practice location
7330 Woodmont Ave
Bethesda, MD 20814-5354
Mailing address
8003 Whittier Blvd
Bethesda, MD 20817-3120
Phone (301) 652-3880
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04448 | MD | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295949717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8003 WHITTIER BLVD",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208173120",
"telephone_number": "301-652-3880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7330 WOODMONT AVE",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208145354",
"telephone_number": "301-652-3880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WISE",
"first_name": "MATTHEW",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MD",
"license": "04448",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bethesda, 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.