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Active NPI 1245465558 Individual Practitioner Male Practitioner

Dr. Daniel Lynn Wise , PhD, LP

Psychologist - Clinical • Edina, MN

✓ Accepts Medicare Assignment Telehealth Available
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Professional Overview & Biography Verified Profile Summary

Dr. Daniel Wise, PhD, LP is a registered Psychologist - Clinical practitioner in Edina, MN. With approximately 18 years of clinical practice since graduating from University Of Missouri, Kansas City, School Of Medicine in 2008, Dr. Wise provides healthcare services at the registered practice location at 5200 WILLSON RD STE 205.

Dr. Wise accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Practice Location & Contact Primary Location

Practice Address

5200 Willson Rd Ste 205

Edina, MN 554241343

Telephone 6128754449
Associated Practice Facility / Clinic
🏢 Daniel L Wise, Ph.d., Pa Facility NPI 1528636511

Medicare Profile & Education

Medical School

University Of Missouri, Kansas City, School Of Medicine

Graduation Year

2008

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - Clinical in Edina, MN

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
18 Yrs -3.9 yrs vs City Avg
City Avg: 21.9 Yrs
State Avg: 20.2 Yrs
Regional Practice Density
41 Specialists

Practicing in Edina, MN (1595 Statewide)

Telehealth Adoption Rate
19.5% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wise (18 Years) 18 Yrs
Edina Specialty Average (21.9 Years) 21.9 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-10-08
Psychologist - Clinical Primary Specialty

NUCC Taxonomy Code: 103TC0700X

State License MN LP6424

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.

Psychologist - Clinical

NUCC Taxonomy Code: 103TC0700X

State License KS LP 1925

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.

Psychologist - Clinical

NUCC Taxonomy Code: 103TC0700X

State License MO 2014023517

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.

Secondary Practice Locations

32 18th Ave Ne

Minneapolis, MN 554184202

Phone: 6128754449

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 08, 2025

Psychologist (License #LP 1925 in KS)

📍
Updated Practice Location August 24, 2021

Registered at 5200 WILLSON RD STE 205, EDINA, MN 554241343 (Tel: 6128754449)

📍
Updated Business Mailing Address August 24, 2021

Registered at 5200 WILLSON RD STE 205, EDINA, MN 554241343 (Tel: 6128754449)

📍
Updated Practice Location January 22, 2020

Registered at 4027 COUNTY ROAD 25, ST LOUIS PARK, MN 554162629 (Tel: 6129256033)

📍
Updated Business Mailing Address January 22, 2020

Registered at 4240 PARK GLEN RD, ST LOUIS PARK, MN 554165427 (Tel: 6129256033)

👤
Provider Name / Credentials Updated January 22, 2020

Recorded as DANIEL WISE, PHD, LP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 22, 2020

Psychologist (License #LP6424 in MN)

NPI Profile Active January 10, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location January 10, 2011

Registered at 500 LIMIT ST, LEAVENWORTH, KS 660484435 (Tel: 8167213932)

📍
Updated Business Mailing Address January 10, 2011

Registered at 500 LIMIT ST, LEAVENWORTH, KS 660484435 (Tel: 8167213932)

👤
Provider Name / Credentials Updated January 10, 2011

Recorded as DANIEL WISE, PH.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 10, 2011

Psychologist (License #LP 1925 in KS)

🟢
Initial NPI Registration & Enumeration May 16, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1245465558
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 16, 2009
Last Update: October 08, 2025
Sole Proprietor: Yes

Mailing Address

5200 Willson Rd Ste 205

Edina, MN 554241343

Phone: 6128754449

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.