BRENDA J WAGNER (NPI# 1083663272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083663272 |
| Entity Type | Individual |
| Full Name | BRENDA J WAGNER |
| Other Name | BRENDA JOY WHITING |
| Credential | PHD |
| Practice Address |
5455 Meridian Mark Rd Ne Ste 400 Atlanta GA 30342 |
| Practice Telephone | 4047853240 |
| Practice Fax Number | 4047853600 |
| Mailing Telephone | 4047853240 |
| Mailing Fax Number | 4047853600 |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 001706 | GA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992937585 | Brenda Kay Wagner | Occupational Therapy Assistant | 151 2nd St, Spring Arbor, MI 49283-9647 | 2009-08-14 |
| Street Address |
5455 MERIDIAN MARK RD NE STE 400 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30342 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326005059 | Jeanne E Hendrickson | Pathology | 5455 Meridian Mark Rd Ne, Ste 400, Atlanta, GA 30342 | 2006-04-27 |
| 1386016533 | Jennifer Lynn Wheelus | Nurse Practitioner | 5455 Meridian Mark Rd Ne, Ste 540, Atlanta, GA 30342-1654 | 2015-10-28 |
| 1629157946 | Cynthia A Simon Krogh | Nurse Practitioner | 5455 Meridian Mark Rd Ne, Ste 400, Atlanta, GA 30342 | 2006-11-06 |
| 1174606362 | Denise Fort-badie | Specialist/Technologist, Other | 5455 Meridian Mark Rd Ne, Ste 540, Atlanta, GA 30342 | 2006-10-23 |
| 1235220203 | Robin Pitts | Internal Medicine | 5455 Meridian Mark Rd Ne, Ste 400, Atlanta, GA 30342 | 2006-09-27 |
| 1235231390 | Tina Taylor | Internal Medicine | 5455 Meridian Mark Rd Ne, Ste 400, Atlanta, GA 30342 | 2006-09-01 |
| 1194744060 | Daniel John Bergsagel | Pediatrics | 5455 Meridian Mark Rd Ne, Ste 400, Atlanta, GA 30342 | 2006-07-19 |
| 1871539825 | Robert Clark Brown | Internal Medicine | 5455 Meridian Mark Rd Ne, Ste 400, Atlanta, GA 30342 | 2006-06-20 |
| 1093751190 | Jeanne Marie Boudreaux | Internal Medicine | 5455 Meridian Mark Rd Ne, Ste 400, Atlanta, GA 30342 | 2006-06-20 |
| 1922042118 | Melissa Martin | Internal Medicine | 5455 Meridian Mark Rd Ne, Ste 400, Atlanta, GA 30342 | 2006-06-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820614 | Nia Charnice Griffin | Nurse Practitioner | 5670 Peachtree Dunwoodyroad, Suite 900, Atlanta, GA 30342 | 2020-10-26 |
| 1255945184 | Jennifer Lynne Cole | Behavior Technician | 5555 Glenridge Con Suite 200, Atlanta, GA 30342 | 2020-09-08 |
| 1093336232 | Van Tran | Respiratory Therapist, Registered | 1000 Johnson Ferry Rd Ne, Atlanta, Ga 30342, Atlanta, GA 30342 | 2020-04-28 |
| 1356978340 | Twyla Douglas Jackson I | Clinical Nutrition, 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342 | 2020-03-27 | |
| 1760013411 | Emily Hamm | Dietitian, Registered | 933 D Johnson Ferry Road, Suite 250, Atlanta, GA 30342 | 2020-01-31 |
| 1043855984 | Mackenzie Tucker Wayda | Registered Nurse | 1001 Johnson Ferry Rd. Ne, Atlanta, GA 30342 | 2019-11-14 |
| 1386288454 | Tiauna Lashun Cochman | Psychologist | 1307 Glenridge Dr, Sandy Springs, GA 30342 | 2019-11-01 |
| 1164074399 | Stephen J. White | Hearing Instrument Specialist | 5775 Peachtree Dunwoody Rd Suite 600 Fl. 6, Uhc Hearing, Atl., GA 30342 | 2019-07-09 |
| 1144788142 | Jaytyn LLC | Internal Medicine | 4600 Broswell Road, Atlanta, GA 30342 | 2019-03-08 |
| 1760954705 | Mishele Walker LLC | Counselor | 555 Glenridge Connector, Suite 200, Sandy Springs, GA 30342 | 2018-12-31 |
| Find all providers in zip 30342 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568072015 | Karen A Foster | Psychologist | 2115 Dee Dee Muse Ln Nw, Atlanta, GA 30318-1503 | 2020-08-08 |
| 1154942084 | Martie Camille Belle | Psychologist | 1462 Clifton Rd Ne Ste 235, Atlanta, GA 30322-1063 | 2020-05-01 |
| 1518513738 | Narjerah Delk | Psychologist | 1226 Anchor Ter Sw, Atlanta, GA 30311-3402 | 2019-08-13 |
| 1043862907 | Lauren Barbara Mcsweeney | Psychologist | 12 Executive Park Dr Ne Ste 3000, Atlanta, GA 30329-2206 | 2019-07-11 |
| 1194285106 | Heather Ansari | Psychologist | 3715 Northside Pkwy Nw Ste 605, Atlanta, GA 30327-2886 | 2019-03-25 |
| 1588130991 | Emma Stein Psychology LLC | Psychologist | 275 Collier Rd Nw Ste 470, Atlanta, GA 30309-1711 | 2018-10-23 |
| 1073004081 | Wendi Wilson Howard | Psychologist | 2931 Paces Ferry Rd Se Ste 202e, Atlanta, GA 30339-3732 | 2018-05-24 |
| 1861980682 | Charlotte Yasinski | Psychologist | 12 Executive Park Dr Ne Fl 3, Atlanta, GA 30329-2206 | 2018-04-26 |
| 1639692478 | Lindsey Swanson Schriefer | Psychologist | 1100 Johnson Ferry Rd Ste 230, Atlanta, GA 30342-1733 | 2017-07-24 |
| 1902329105 | Barbara Dunbar | Psychologist | 1777 Northeast Expressway, #175, Atlanta, GA 30329 | 2017-07-19 |
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| 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.