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

Dr. Roger P. Wise, PSYD

Individual provider Clinical Psychologist · NPI 1942390455

Dr. Roger P. Wise, PSYD is a Clinical Psychologist in Harrisonville, Missouri. Qualified in 1979, 47 years ago. Practices with Sondermind Provider Network LLC, a 1,258-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
47
Licensed in
MO
In the registry since
2006
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

306 S Independence St
Harrisonville, MO 64701-2352
Phone: (816) 380-4010
Fax: (816) 887-5703
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 00914 (MO)

Record details

NPI number1942390455
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorNo
NPI enumeratedOctober 13, 2006
Last updated in NPPESApril 17, 2008
Mailing address306 S Independence St, Harrisonville, MO 64701-2352

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1979 (47 years in practice)
Group practice Sondermind Provider Network Llc — 1258 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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