Dr Nicholas Matthew Wisdom, PHD is a medicare enrolled "Clinical Neuropsychologist" provider in Houston, Texas. His current practice location is
1300 Bay Area Blvd Ste B150-15, Houston, Texas. You can reach out to his office (for appointments etc.) via phone at
(281) 954-6828.
Dr Nicholas Matthew Wisdom is licensed to practice in Kansas (license number 2032) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1912260779.
Healthcare Provider's Profile
| Full Name | Dr Nicholas Matthew Wisdom |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 1300 Bay Area Blvd Ste B150-15, Houston, Texas |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Nicholas Matthew Wisdom attended and graduated from in
NPI Data:
- NPI Number: 1912260779
- Provider Enumeration Date: 06/18/2012
- Last Update Date: 04/21/2025
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Nicholas Matthew Wisdom such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1912260779 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TC0700X | Psychologist - Clinical | 2032 (Kansas) | Secondary |
| 103G00000X | Clinical Neuropsychologist | 2032 (Kansas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Nicholas Matthew Wisdom is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Nicholas Matthew Wisdom, PHD
15222 Woodhorn Dr,
Houston, TX 77062-3211
Ph: (405) 205-8405 | Dr Nicholas Matthew Wisdom, PHD
1300 Bay Area Blvd Ste B150-15,
Houston, TX 77058-2505
Ph: (281) 954-6828 |
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