Marianne E Wishka, PSY.D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301015743 Issued in MI

Practice address

211 3Rd St
Ann Arbor, MI 48103-4304

Phone

(734) 395-9380

NPI assigned

Jan 23, 2009

Sex

Female

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

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, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Dexter Psychological Services PLLC

  • Clinical Psychologist
  • Ann Arbor, MI
  • NPI 1730561515
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1232668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1730327115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 3RD ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481034304",
            "telephone_number": "734-395-9380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 3RD ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481034304",
            "telephone_number": "734-395-9380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISHKA",
        "first_name": "MARIANNE",
        "middle_name": "E",
        "credential": "PSY.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-23",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301015743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tina Ellis Wise, CRNA
• Mary Patricia Wisely, M.D.
• Stephen William Wiseman, PHARM.D.
• Nicole Lynn Wiser
• Max V. Wisgerhof II, M.D.
• Cary D Wisniewski, PA-C
• Jamie Wisniewski
• Erica Anne Wisnosky
• Holly Wisnousky, MD
• Sally Wisotzkey, MSW

• Clinical Psychologist in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2026; 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.