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

Dr. Jason Wise, PSYD

Individual provider Clinical Psychologist · NPI 1023213006

Dr. Jason Wise, PSYD is a Clinical Psychologist in San Antonio, Texas. Qualified in 2025, 1 year ago. Works from 2 locations. Licensed in New York and Virginia.

Years since qualifying
1
Licensed in
NY, VA
In the registry since
2007
Specialties on file
2
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

7400 Merton Minter St
San Antonio, TX 78229-4404
Phone: (210) 617-5300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2321 Wards Rd, Lynchburg, VA 24502-2101 — (434) 582-2273

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 017633 (NY)
Clinical Psychologist Taxonomy 103TC0700X · Licence 0810009251 (VA)

Record details

NPI number1023213006
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorNo
NPI enumeratedJune 19, 2007
Last updated in NPPESFebruary 12, 2026
Certification dateFebruary 12, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

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