DR. STEVE WAGNER (NPI# 1134538382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134538382 |
| Entity Type | Individual |
| Full Name | DR. STEVE WAGNER |
| Credential | PSYD |
| Practice Address |
1640 Flossie Dr Greendale IN 47025-8424 |
| Mailing Address |
Po Box 635283 Cincinnati OH 45263-5283 |
| Practice Telephone | 8593015901 |
| Practice Fax Number | 8593015940 |
| Mailing Telephone | 8593015901 |
| Mailing Fax Number | 8593015940 |
| Enumeration Date | 2014-08-12 |
| Last Update Date | 2020-03-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 20040240A | IN | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
20040240A | IN | Behavioral Health & Social Service Providers |
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
20040240A | IN | Behavioral Health & Social Service Providers |
| N | 103TS0200X |
Psychologist Specialization: School |
1008597 | IN | Behavioral Health & Social Service Providers |
| Street Address |
1640 FLOSSIE DR |
| City | GREENDALE |
| State | IN |
| Zip Code | 47025-8424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902897648 | Eugene Groysman | Family Medicine | 1640 Flossie Dr, Greendale, IN 47025-8424 | 2005-11-02 |
| 1649642406 | Kathryn Moore Keathley | Nurse Practitioner | 1640 Flossie Dr, Greendale, IN 47025-8424 | 2015-10-20 |
| 1982993697 | James Hahn | Pediatrics | 1640 Flossie Dr, Greendale, IN 47025-8424 | 2011-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053761932 | Aimee Elizabeth Steele | Social Worker | 285 Bielby Rod, Lawrenceburg, IN 47025 | 2016-06-21 |
| 1942663703 | Kathryn Robinson | Speech-Language Pathologist | 478 Eagleview Drive, Lawrenceburg, IN 47025 | 2016-03-30 |
| 1518342674 | Emily Eichinger | Pharmacist | 401 W Eads Pkwy Ste 270, Greendale, IN 47025 | 2015-07-29 |
| 1104267269 | Bright Family Eye Care LLC | Optometrist | 24173 Stateline Rd., Suite 200, Lawrenceburg, IN 47025 | 2013-07-17 |
| 1912274333 | James J Gibbs | Pharmacist | 432 Craig Avenue, Greendale, IN 47025 | 2011-11-30 |
| 1265717755 | Carrie Rowekamp | Pharmacist | 432 Craig Ave., Greendale, IN 47025 | 2011-10-15 |
| 1619277621 | Whitner Counseling | Community/Behavioral Health | 5 Mary Street, Lawrenceburg, IN 47025 | 2010-10-25 |
| 1255646170 | Charles Alan Perine | Audiologist | 368 Bielby Rd Suite 140, Ludlow Hill Preofessional Bldg, Lawrenceburg, IN 47025 | 2010-08-16 |
| 1457579328 | Sei Physical Therapy, Inc. | Physical Therapist | 23990 Stateline Rd., Suite 1, Lawrenceburg, IN 47025 | 2007-04-23 |
| 1447382593 | Keith William Blankman | Optometrist | 19908 Augusta Dr, Suite 1, Lawrenceburg, IN 47025 | 2007-03-12 |
| Find all providers in zip 47025 | ||||
| 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 |
|---|---|---|---|---|
| 1689273849 | Anahli Mayank Patel | Psychologist | 550 University Blvd Ste 1602, Indianapolis, IN 46202-5149 | 2020-10-20 |
| 1861006587 | Dr Michael Jones Psychological Associates, LLC | Psychologist | 8510 Evergreen Ave Ste 106, Indianapolis, IN 46240-2338 | 2020-09-01 |
| 1477171122 | Ellen Vaughan | Psychologist | 201 N Rose Ave Rm 4054, Bloomington, IN 47405-1005 | 2020-07-09 |
| 1881222016 | Ericka Swanson Psyd Inc. | Psychologist | 9305 Calumet Ave Ste A2, Munster, IN 46321-2888 | 2020-04-01 |
| 1184251316 | Pei-yi Lin | Psychologist | 9504 Rachel Dr, Yorktown, IN 47396-9826 | 2020-03-26 |
| 1679109383 | Christina Chico | Psychologist | 1 Park Row St, Michigan City, IN 46360-6597 | 2020-03-14 |
| 1457998007 | Ne Psychological LLC | Psychologist | 6343 Constitution Dr, Fort Wayne, IN 46804-1547 | 2019-12-03 |
| 1124674908 | Indianapolis Neurobehavioral Health Center LLC | Psychologist | 921 E. 86th St., Suite 210 C, Indianapolis, IN 46240 | 2019-08-16 |
| 1295205615 | Monumental Behavioral Health Inc | Psychologist | 1201 N Post Rd Ste C, Indianapolis, IN 46219-4246 | 2018-11-28 |
| 1528536083 | Rebecca Martinez Reid | Psychologist | 2201 E Woodstock Pl, Bloomington, IN 47401-6180 | 2018-11-02 |
| Find all providers with the same taxonomy | ||||
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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.