Wise Mind Behavioral Therapy, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

WISE MIND BEHAVIORAL THERAPY, PLLC

Practice address

4685 Cheshire St
San Diego, CA 92117-4024

Phone

(801) 477-7004

NPI assigned

Feb 15, 2021

Organization subpart

No

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

Authorized official

Name

Joshua Kivlovitz, LCSWNPI 1225513427

Title

Therapist

Phone

(801) 477-7004

Specialties & licenses 1

Addresses

Other names 1

• Wise Mind Behavioral Therapy Doing business as

Locations

Practitioners 1

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

• Joshua Robert Kivlovitz, LCSW

  • Clinical Social Worker
  • San Diego, CA
  • NPI 1225513427
  NPD Authorized official

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

{
    "created_epoch": "1613347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756166400000",
    "number": "1740873355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7533 S CENTER VIEW CT # 4945",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840845526",
            "telephone_number": "801-477-7004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4685 CHESHIRE ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921174024",
            "telephone_number": "801-477-7004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISE MIND BEHAVIORAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-15",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A",
        "authorized_official_last_name": "KIVLOVITZ",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "801-477-7004",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wise Mind Behavioral Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wise Mind Behavioral Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elyjah Wirth
• Gordon G Wisbach III, M.D
• Briana Wischnack, NP
• Shelley Wisdom-Lazar, LCSW
• Wise Counsel Psychology Inc
• Wise Self Psychology, Inc.
• Jessica Wise-Graham
• Allison Wise, LCSW
• Audra C Wise, MD
• Brianna Lynn Wise

• Clinical Social Worker in San Diego, CA
• Providers in San Diego, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.