A Wisermind LLC
NPI 1053619874 · Clinical Psychologist · Scottsdale, AZ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
A Wisermind LLC is a Clinical Psychologist organization in Scottsdale, AZ (NPI 1053619874).
Provider details
- NPI number
- 1053619874
- Entity type
- Organization
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Daniel Kostelnik, Vice President(303) 946-5003
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 8902 E Via Linda#110-163Scottsdale, AZ 85258-5416Phone: (303) 951-4323Fax: (877) 926-0262
Registry dates
- Enumerated
- 2011-03-02
- Last updated
- 2018-10-17
Frequently asked questions
- What is A Wisermind LLC's NPI number?
- A Wisermind LLC's National Provider Identifier (NPI) is 1053619874, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is A Wisermind LLC?
- A Wisermind LLC is classified in the NPPES registry as Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is A Wisermind LLC located?
- A Wisermind LLC's practice location on file with NPPES is 20343 N Hayden Rd # 105-446, Scottsdale, AZ 85255-3876.
- What is A Wisermind LLC's phone number?
- The practice phone number listed in the NPPES registry for A Wisermind LLC is (602) 930-8462.
- Does A Wisermind LLC accept Medicare?
- A Wisermind LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for A Wisermind LLC?
- The authorized official listed on A Wisermind LLC's NPPES record is Daniel Kostelnik, Vice President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is A Wisermind LLC's NPI active?
- Yes — A Wisermind LLC's NPI (1053619874) is active in the NPPES registry as of the last update on 2018-10-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.