Christian Lance Wimmer, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

001260 Issued in IA

Practice address

5057 Carillon LN
Windermere, FL 34786-3117

Phone

(515) 509-5670

NPI assigned

May 29, 2025

Sex

Male

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

Credentials

Doctor of Philosophy

Practice roles

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.

• Three Twelve LLC

  • Psychologist
  • Windermere, FL
  • NPI 1699668863
  NPD Authorized official

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

{
    "created_epoch": "1748476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1699668855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5057 CARILLON LN",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347863117",
            "telephone_number": "515-509-5670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5057 CARILLON LN",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347863117",
            "telephone_number": "515-509-5670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIMMER",
        "first_name": "CHRISTIAN",
        "middle_name": "LANCE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-29",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IA",
            "license": "001260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlin White, M.A CCC-SLP
• Robert W White, P.A. - C
• Brian Wiboon, DO
• Ja'Nesia Williams, RMHCI
• Magued Michael Wilson
• Windermere Assisted Living Facility Corp
• Windermere Baby and Family
• Windermere Chiropractic, PLLC
• Windermere Medical Center
• Janelle Allison Wong, MS,CCC-SLP

• Psychologist in Windermere, FL
• Providers in Windermere, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.