Paul Robert Wiese, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6301008035 Issued in MI

Practice address

1116 N Chipman St
Owosso, MI 48867-4901

Phone

(906) 362-7726

Fax

(989) 472-4110

NPI assigned

Jun 12, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

BCS of Michigan LLCGroup PAC ID 0840503652, 41 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75.05 of 100Reported as group

Quality

0

Promoting interoperability

100

Improvement activities

40

Cost

83.49

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• BCS of Michigan LLC

  • Psychologist
  • Novi, MI
  • NPI 1164816195
  Medicare reassignment Care Compare group NPD
• Behavioral Care Solutions for Adults and Seniors, Inc.

  • Psychiatry Physician
  • Novi, MI
  • NPI 1154727147

  Psychologist

  NPD (past)
• Geriatric Psychiatric Services PLLC

  • Clinical Psychologist
  • Indianapolis, IN
  • NPI 1073753323
  NPD (past)

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

{
    "created_epoch": "1370995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391126400000",
    "number": "1578901559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1116 N CHIPMAN ST",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488674901",
            "telephone_number": "906-362-7726",
            "fax_number": "989-472-4110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1116 N CHIPMAN ST",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488674901",
            "telephone_number": "906-362-7726",
            "fax_number": "989-472-4110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIESE",
        "first_name": "PAUL",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-12",
        "last_updated": "2014-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WV",
            "license": "673",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301008035",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "FL EXEMPT 490.014",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah White
• Kayley Whiteherse
• Abbygail Whitt, LLMSW
• Alexis Wicke, MA, BCBA
• Ashley Wickham
• Shelly Wiggins, MA. LPC
• Charles Wilkerson Jr.
• Chelsea Louise Wilkins, LMSW
• Kristen Williams
• Meaghan Williams

• Psychologist in Owosso, MI
• Providers in Owosso, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.