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

Justin M Wiseman, PSYD

Individual provider Clinical Psychologist · NPI 1073159539

Justin M Wiseman, PSYD is a Clinical Psychologist in Kansas City, Missouri. Works from 4 locations. Licensed in Missouri.

Licensed in
MO
In the registry since
2019
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

See every abbreviation used in this directory →

Practice location Address checks out

401 E 19th St Apt 1405
Kansas City, MO 64108-1791
Phone: (314) 255-9594
Show map & directions

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

Additional practice locations (3)

  • 1300 Metropolitan Ave, Leavenworth, KS 66048-1254 — (314) 255-9594
  • 303 N Stadium Blvd Ste 200, Columbia, MO 65203-1429 — (314) 255-9594
  • 600 E 5th St, Fulton, MO 65251-1753 — (573) 592-4100

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 2018037238 (MO)

Record details

NPI number1073159539
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorNo
NPI enumeratedNovember 20, 2019
Last updated in NPPESMarch 24, 2021
Certification dateMarch 24, 2021

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