Wise Counsel Psychology Inc

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

WISE COUNSEL PSYCHOLOGY INC

Practice address

4546 Kensington Dr
San Diego, CA 92116-3834

Phone

(619) 994-8627

NPI assigned

Mar 1, 2024

Organization subpart

No

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

Authorized official

Name

Mardi M SmithNPI 1154601862

Title

President

Phone

(619) 994-8627

Specialties & licenses 1

Addresses

Practitioners 1

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

• Mardi Michele Smith, PH.D.

  • Psychologist
  • San Diego, CA
  • NPI 1154601862
  NPD Authorized official

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

{
    "created_epoch": "1709251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709251200000",
    "number": "1477310985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4142 ADAMS AVE STE 103",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921162594",
            "telephone_number": "619-994-8627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4546 KENSINGTON DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921163834",
            "telephone_number": "619-994-8627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISE COUNSEL PSYCHOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-01",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MARDI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-994-8627"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jan Wirsching, RD
• Elyjah Wirth
• Gordon G Wisbach III, M.D
• Briana Wischnack, NP
• Shelley Wisdom-Lazar, LCSW
• Wise Mind Behavioral Therapy, PLLC
• Wise Self Psychology, Inc.
• Jessica Wise-Graham
• Allison Wise, LCSW
• Audra C Wise, MD

• Clinical Psychologist in San Diego, CA
• Providers in San Diego, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2024; 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.