Wise Mind TX

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

WISE MIND TX

Practice address

4904 Trimmier Rd
Killeen, TX 76542-3821

Phone

(254) 236-3364

Fax

(254) 488-3038

NPI assigned

Jan 22, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Barbra Wise, MD

Title

Owner

Phone

(901) 366-1488

Specialties & licenses 1

Addresses

Other names 1

• Killeen Psychiatry Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 5

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

• Maria Johnson, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Killeen, TX
  • NPI 1003382250
  Medicare reassignment Care Compare group NPD
• Michelle Zbydniewski

  • Psychiatric/Mental Health Nurse Practitioner
  • Harker Heights, TX
  • NPI 1437029725
  Medicare reassignment Care Compare group
• Barbara V. Wise, M.D.

  • Psychiatry Physician
  • Fayetteville, NC
  • NPI 1578586541

  TX

  Medicare reassignment NPD
• Nicole A Bristol, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Killeen, TX
  • NPI 1336003615
  Care Compare group
• Scarlett C Mulligan, PA-C

  • Physician Assistant
  • Clarksville, TN
  • NPI 1679628713
  NPD (past)

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

{
    "created_epoch": "1705881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737936000000",
    "number": "1851152383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4904 TRIMMIER RD",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765423821",
            "telephone_number": "254-236-3364",
            "fax_number": "254-488-3038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4904 TRIMMIER RD",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765423821",
            "telephone_number": "254-236-3364",
            "fax_number": "254-488-3038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISE MIND TX",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-22",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A",
        "authorized_official_last_name": "WISE",
        "authorized_official_first_name": "BARBRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-366-1488",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Killeen Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Killeen Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Natasha Nicole Wilson, LPC-A, LCDC-I
• Rylee Wilson
• Destiny Winkfield
• Denasia Tashae Winston
• Michelle L Wintering, CCC-SLP
• Amber Wiseman, OTR
• Shannon Wisnoski
• Ashly D. Withers
• Klorice Kamisha Witherspoon, CHW
• Kim Wizeman

• Psychiatry Physician in Killeen, TX
• Providers in Killeen, TX by specialty
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.