Taryn Wise, PSYD

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

269154 Issued in KY

Practice address

6900 Houston Rd Ste 11
Florence, KY 41042-4891

Phone

(859) 525-4911

NPI assigned

Jul 17, 2018

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Little Psychological Services, PLLC

  • Clinical Psychologist
  • Florence, KY
  • NPI 1578655650
  NPD

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

{
    "created_epoch": "1531785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645056000000",
    "number": "1861978447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 AUGUSTA AVE",
            "city": "FT WRIGHT",
            "state": "KY",
            "postal_code": "410113604",
            "telephone_number": "502-724-2017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 HOUSTON RD STE 11",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410424891",
            "telephone_number": "859-525-4911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISE",
        "first_name": "TARYN",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-17",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "KY",
            "license": "269154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen A Wilson, PSY.D.
• Olivia Wilson
• Whitney Banks Winchester, OTR/L
• Sandra Windgassen, PTA
• Wing Eyecare, Inc.
• Bethany Ray Witzke, LPCA
• Chris Wong, MD
• Sierra Nicole Wong
• Clara Wood, DMD, MSD
• Ryan Patrick Woods, M.D.

• Clinical Child & Adolescent Psychologist in Florence, KY
• Providers in Florence, KY by specialty
• Clinical Child & Adolescent Psychologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2022; 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.