DR. WENDY REBERT (NPI# 1023160546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023160546 |
| Entity Type | Individual |
| Full Name | DR. WENDY REBERT |
| Other Name | DR. WENDY MAGNOLI |
| Credential | PH.D. |
| Practice Address |
1109 Spring Dr Opelika AL 36801-5345 |
| Mailing Address |
2020 Peachtree Rd Nw Atlanta GA 30309-1426 |
| Practice Telephone | 3347452760 |
| Practice Fax Number | 3347457998 |
| Mailing Telephone | 4043507323 |
| Mailing Fax Number | 4043507694 |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2018-01-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
550 | AL | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY002491 | GA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 890011270 | 05 |
| Street Address |
1109 SPRING DR |
| City | OPELIKA |
| State | AL |
| Zip Code | 36801-5345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558475319 | Lee County Youth Development Center | Residential Treatment Facility, Emotionally Disturbed Children | 1109 Spring Dr, Opelika, AL 36801-5345 | 2006-08-18 |
| 1073164232 | Amber Marie Demars | Counselor | 1109 Spring Dr, Opelika, AL 36801-5345 | 2019-09-27 |
| 1003279613 | Lee County Youth Development Center | Clinic/Center | 1109 Spring Dr, Opelika, AL 36801-5345 | 2016-03-31 |
| 1619368875 | Lee County Youth Development Center | Community Based Residential Treatment Facility, Mental Illness | 1109 Spring Dr, Opelika, AL 36801-5345 | 2015-02-10 |
| 1861631962 | Lee County Youth Development Center | Clinic/Center | 1109 Spring Dr, Opelika, AL 36801-5345 | 2009-02-12 |
| 1427295591 | Lee County Youth Development Center | Psychiatric Residential Treatment Facility | 1109 Spring Dr, Opelika, AL 36801-5345 | 2009-01-12 |
| 1407003486 | Lee County Youth Development Center | Residential Treatment Facility, Emotionally Disturbed Children | 1109 Spring Dr, Opelika, AL 36801-5345 | 2008-08-21 |
| 1336396399 | Lee County Youth Development Center | Clinic/Center | 1109 Spring Dr, Opelika, AL 36801-5345 | 2008-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407400963 | Paul Simon | Physical Therapist | 3051 Frederick Rd Suite 4, Opelika, AL 36801 | 2019-08-01 |
| 1932662434 | East Alabama Apothecary LLC | Pharmacy | 2501 Village Professional Drive, Suite 2031, Opelika, AL 36801 | 2019-04-11 |
| 1316399108 | Jessica Audrey Haynie | Nurse Practitioner | 2609 Village Prof. Dr., Suite 3, Opelika, AL 36801 | 2016-07-06 |
| 1639574916 | Melissa Shah Kerber | Dentist | 2015 Interstate Drive, Opelika, AL 36801 | 2014-10-28 |
| 1588096200 | Carla Lynn Hudson | Nurse Practitioner | 2420 Village Professional Drive, Opelika, AL 36801 | 2013-08-05 |
| 1528404878 | Baowu Wang | Psychiatry & Neurology | 2506 Lambert Drive, Opelika, AL 36801 | 2013-05-14 |
| 1144566266 | Caremed Inc. | Durable Medical Equipment & Medical Supplies | 702 N Railroad Ave., Opelika, AL 36801 | 2012-12-18 |
| 1659635472 | Meshia Kerry-ann Wallace | Internal Medicine | 2412 Village Professional Dr S, Opelika, AL 36801 | 2012-06-26 |
| 1558651570 | Amanda Mamie Reimer | Psychiatry & Neurology | 2570 Village Professional Park, Opelika, AL 36801 | 2011-04-11 |
| 1356640569 | Mary Neal Gipson | Marriage & Family Therapist | 218 S. 8th St., Opeika, AL 36801 | 2011-03-28 |
| Find all providers in zip 36801 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336221191 | John Gam | Psychologist | 121 N 20th St #6, Opelika, AL 36801 | 2006-10-20 |
| 1902994270 | Charles T Rubio | Psychologist | 2114 Executive Park Dr, Opelika, AL 36801-6042 | 2006-10-11 |
| 1518976307 | Anne L. Harzem | Psychologist | 2204 Executive Park Dr, Opelika, AL 36801-6062 | 2006-08-08 |
| 1942677513 | Psychological Assessment Center, LLC | Psychologist | 3320 Skyway Dr, #801, Opelika, AL 36801-7137 | 2015-08-29 |
| 1962666495 | Anne L. Harzem, Ph.d.,llc | Psychologist | 2204 Executive Park Dr, Opelika, AL 36801-6062 | 2008-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063050300 | Abby Pullen Clark | Psychologist | 801 Noble St Ste 400, Anniston, AL 36201-5698 | 2019-12-17 |
| 1720624380 | Cynthia Ann Neville | Psychologist | 203 17th St N, Bessemer, AL 35020-5726 | 2019-11-19 |
| 1457992588 | Teashia Adkins Goodwin | Psychologist | 500 Southland Dr Ste 155-f, Vestavia, AL 35226-3711 | 2019-09-30 |
| 1750941365 | Kristen Marie Smith | Psychologist | 3125 Independence Dr Ste 114, Birmingham, AL 35209-4163 | 2019-06-17 |
| 1952864225 | Parris Psychology | Psychologist | 1971 Appalachian Hwy, Hokes Bluff, AL 35903-4747 | 2019-04-12 |
| 1245791789 | Lori Lea Holth | Psychologist | 5820 Morris Ave, Gadsden, AL 35903-4831 | 2019-03-27 |
| 1023581246 | Elizabeth Fair | Psychologist | 3168 Midtown Park S Ste E, Mobile, AL 36606 | 2019-01-10 |
| 1487139119 | Natalie Harrison | Psychologist | 400 Vestavia Pkwy Ste 101, Vestavia, AL 35216-3750 | 2018-09-28 |
| 1184100661 | Regroup Psychological Services | Psychologist | 2006 Franklin St. Se, Suite 110, Huntsville, AL 35801 | 2018-07-17 |
| 1508391467 | Eric Todd Bloch | Psychologist | 2061 County Road 430, Smiths Station, AL 36877 | 2017-04-27 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. WENDY REBERT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.