Wise Practice PLLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

WISE PRACTICE PLLC

Practice address

480 Grace Ave
Rochester Hills, MI 48307-5102

Phone

(248) 891-6946

NPI assigned

May 14, 2021

Organization subpart

No

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

Authorized official

Name

Kristen Marie O'Dwyer, LCSWNPI 1447672191

Title

Owner/Therapist

Phone

(248) 891-6946

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Kristen Marie O'Dwyer, LCSW

  • Clinical Social Worker
  • San Diego, CA
  • NPI 1447672191
  NPD Authorized official

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

{
    "created_epoch": "1620950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620950400000",
    "number": "1801460878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26669 SPICER ST",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480713853",
            "telephone_number": "248-891-6946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 GRACE AVE",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483075102",
            "telephone_number": "248-891-6946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISE PRACTICE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-14",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-14",
        "status": "A",
        "authorized_official_last_name": "O'DWYER",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "248-891-6946",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1447672191",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sierra Wilson, LPC
• Krystal R E Wingett, LMSW, ASCW
• Ashley Winokur, LLC
• Steven Winokur, MD
• Cheryl Winston
• McKenna Ashley Witt
• Thomas Phillip Wolfe, MD
• David Neil Woliung, D.D.S.
• Marcus Alexander Wong, MD
• Brian Donald Wood, D.O.

• Adult Mental Health Clinic/Center in Rochester Hills, MI
• Providers in Rochester Hills, MI by specialty
• Adult Mental Health Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2021; 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.