Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Bonnie Nell Wise, PHD

Individual provider Clinical Psychologist · NPI 1053537712

Dr. Bonnie Nell Wise, PHD is a Clinical Psychologist in Long Beach, California. Qualified in 1992, 34 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in California.

Years since qualifying
34
Licensed in
CA
In the registry since
2007
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

3353 Linden Ave
Long Beach, CA 90807-4503
Phone: (562) 596-4002
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY14213 (CA)

Record details

NPI number1053537712
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedApril 18, 2007
Last updated in NPPESMarch 22, 2025
Certification dateMarch 22, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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