Dr. Jason C Wieseler, Psy.D.
Psychologist, Counseling in Melbourne, FL. Individual provider (NPI-1).
NPI number1528095544
StatusActive
Last updated in NPPESSep 13, 2012
Details
- NPI
- 1528095544
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jason C Wieseler
- Credential
- Psy.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 26, 2006
- Last updated
- Sep 13, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CLINICAL PSYCHOLOGIST
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC1900X | Psychologist, Counseling | PY7276 | FL | Yes |
Practice location
400 E Sheridan RdMelbourne, FL 32901-3122
Phone 321-722-5200
Mailing address
400 E Sheridan RdMelbourne, FL 32901-3122
Phone 321-722-5200
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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