Provider Type Icon

DR. SARA E WISE PHD NPI 1639776313


NPI Information

NPI: 1639776313
Provider Name: DR. SARA E WISE, PHD
Classification: Psychologist - 103TC0700X
Entity Type: Individual

Specialization: Clinical

PECOS Registration: Yes

Address:
200 HAWKINS DR
IOWA CITY, IA
ZIP 52242
Phone: (319) 353-6314
Get Directions

DR. Sara E Wise, PHD is a clinical psychologist in Iowa City, IA with 4 years of experience. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. DR. Sara E Wise, PHD NPI is 1639776313. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Graduation Year:2020

The provider's business location address is:

200 HAWKINS DR
IOWA CITY, IA
ZIP 52242-009
Phone: (319) 353-6314

The NPI 1639776313 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 10/5/2020 and was last updated on 11/9/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103T00000XPsychologist105860IOWANo
2103T00000XPsychologistNo
3103TA0700XPsychologistAdult Development & Aging105860IOWANo
4103TB0200XPsychologistCognitive & Behavioral105860IOWANo
5103TC1900XPsychologistCounseling105860IOWANo
6103TC2200XPsychologistClinical Child & Adolescent105860IOWANo
7103TF0000XPsychologistFamily105860IOWANo
8103TH0100XPsychologistHealth Service105860IOWANo
9103TM1800XPsychologistIntellectual and Developmental Disabilities105860IOWANo
10103TP2701XPsychologistGroup Psychotherapy105860IOWANo
11103TS0200XPsychologistSchool105860IOWANo
12103TC0700XPsychologistClinical105860IOWAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.