Daniel L Wise, PH.D., PA
NPI 1528636511 · Clinical Psychologist · Edina, MN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Daniel L Wise, PH.D., PA is a Clinical Psychologist organization in Edina, MN (NPI 1528636511).
Provider details
- NPI number
- 1528636511
- Entity type
- Organization
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Daniel Wise, President/Licensed Psychologist(612) 875-4449
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
5 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)
- 32 18th Ave NeMinneapolis, MN 55418-4202Phone: (612) 875-4449
Registry dates
- Enumerated
- 2021-06-15
- Last updated
- 2021-08-24
- Certified
- 2021-08-24
Frequently asked questions
- What is Daniel L Wise, PH.D., PA's NPI number?
- Daniel L Wise, PH.D., PA's National Provider Identifier (NPI) is 1528636511, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Daniel L Wise, PH.D., PA?
- Daniel L Wise, PH.D., PA is classified in the NPPES registry as Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Daniel L Wise, PH.D., PA located?
- Daniel L Wise, PH.D., PA's practice location on file with NPPES is 5200 Willson Rd Ste 205, Edina, MN 55424-1343.
- What is Daniel L Wise, PH.D., PA's phone number?
- The practice phone number listed in the NPPES registry for Daniel L Wise, PH.D., PA is (612) 875-4449.
- Does Daniel L Wise, PH.D., PA accept Medicare?
- Daniel L Wise, PH.D., PA 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 Daniel L Wise, PH.D., PA?
- The authorized official listed on Daniel L Wise, PH.D., PA's NPPES record is Daniel Wise, President/Licensed Psychologist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Daniel L Wise, PH.D., PA's NPI active?
- Yes — Daniel L Wise, PH.D., PA's NPI (1528636511) is active in the NPPES registry as of the last update on 2021-08-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.