Nicholas Wisdom, PH.D.
NPI 1912260779 · Clinical Neuropsychologist · League City, TX
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nicholas Wisdom, PH.D. is a Clinical Neuropsychologist provider in League City, TX (NPI 1912260779).
Provider details
- NPI number
- 1912260779
- Entity type
- Individual
- Primary specialty
- Clinical NeuropsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Male
- Sole proprietor
- No
- License
- PY10489 (FL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
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
14 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
Registry dates
- Enumerated
- 2012-06-18
- Last updated
- 2026-05-06
- Certified
- 2026-05-06
Frequently asked questions
- What is Nicholas Wisdom's NPI number?
- Nicholas Wisdom's National Provider Identifier (NPI) is 1912260779, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nicholas Wisdom's specialty?
- Nicholas Wisdom is listed in the NPPES registry with a primary specialty of Clinical Neuropsychologist (Behavioral Health & Social Service Providers).
- Where is Nicholas Wisdom located?
- Nicholas Wisdom's practice location on file with NPPES is 112 Magnolia Estates Dr, League City, TX 77573-4719.
- What is Nicholas Wisdom's phone number?
- The practice phone number listed in the NPPES registry for Nicholas Wisdom is (888) 606-0086.
- Does Nicholas Wisdom accept Medicare?
- Nicholas Wisdom is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Nicholas Wisdom's NPI active?
- Yes — Nicholas Wisdom's NPI (1912260779) is active in the NPPES registry as of the last update on 2026-05-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.