Wise Mind and Body, LLC
NPI 1417721630 · Psychiatric/Mental Health Nurse Practitioner · Fort Mill, SC
Wise Mind and Body, LLC is a Psychiatric/Mental Health Nurse Practitioner organization in Fort Mill, SC (NPI 1417721630).
Provider details
- NPI number
- 1417721630
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Joanna Wiseman, Ceo/Owner(631) 512-9807
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Other names (DBA / former)
- Former legal business name
- Wise Mind and Body, LLC
Registry dates
- Enumerated
- 2023-11-08
- Last updated
- 2023-11-13
- Certified
- 2023-11-13
Frequently asked questions
- What is Wise Mind and Body, LLC's NPI number?
- Wise Mind and Body, LLC's National Provider Identifier (NPI) is 1417721630, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wise Mind and Body, LLC?
- Wise Mind and Body, LLC is classified in the NPPES registry as Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Wise Mind and Body, LLC located?
- Wise Mind and Body, LLC's practice location on file with NPPES is 142 Nims Spring Dr, Fort Mill, SC 29715-6461.
- What is Wise Mind and Body, LLC's phone number?
- The practice phone number listed in the NPPES registry for Wise Mind and Body, LLC is (631) 512-9807.
- Who is the authorized official for Wise Mind and Body, LLC?
- The authorized official listed on Wise Mind and Body, LLC's NPPES record is Joanna Wiseman, Ceo/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wise Mind and Body, LLC's NPI active?
- Yes — Wise Mind and Body, LLC's NPI (1417721630) is active in the NPPES registry as of the last update on 2023-11-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.