DR. MARK H. WAGNER (NPI# 1184928962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184928962 |
Entity Type | Individual |
Full Name | DR. MARK H. WAGNER |
Credential | PH.D. |
Practice Address |
75 New Scotland Ave Cdpc - Child and Adolescent Service Albany NY 12208-3409 |
Practice Telephone | 5184479647 |
Practice Fax Number | 5184262902 |
Mailing Telephone | 5184479647 |
Mailing Fax Number | 5184262902 |
Enumeration Date | 2011-01-07 |
Last Update Date | 2011-01-07 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103T00000X | Psychologist | 018860 | NY | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528419074 | Mark Vincent Wagner | Dentist | 2600 Village Pkwy Ste 120, Highland Village, TX 75077-3285 | 2016-06-27 |
1467845487 | Mark Wagner | Health Educator | 600 Cornell Ave, Hagerstown, MD 21742-4500 | 2015-03-16 |
1265863112 | Mark Wagner | Dentist | 24 Old Plantation Way, Pikesville, MD 21208-6375 | 2013-12-03 |
1881967016 | Mark Allen Wagner | Physical Therapist | 4046 Arezzo Dr, Longmont, CO 80503-4157 | 2012-02-19 |
1780737924 | Mark Wagner | Psychologist | 23 Pokonoket Ave, Sudbury, MA 01776-2320 | 2007-01-19 |
1033202502 | Mark Elliot Wagner | Family Medicine | 623 North 5th Street, Reading, PA 19601 | 2006-10-02 |
1700821709 | Mark S Wagner | Psychiatry & Neurology | 515 Cabrillo Park Dr, Suite 120, Santa Ana, CA 92701-5016 | 2006-06-17 |
1649211764 | Mark David Wagner | Family Medicine | 1000 Dexter Ave N Ste 320, Seattle, WA 98109-4878 | 2006-06-09 |
1336130087 | Mark Andrew Wagner | Radiology | 2740 M St, Merced, CA 95340-2813 | 2005-11-02 |
1992358741 | Mark Wagner | Counselor | 540 Riverside Dr Ste 8, Salisbury, MD 21801-5352 | 2019-07-22 |
Street Address |
75 NEW SCOTLAND AVE CDPC - CHILD AND ADOLESCENT SERVICE |
City | ALBANY |
State | NY |
Zip Code | 12208-3409 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407913619 | Capital District Psychiatric Center | Assisted Living Facility | 75 New Scotland Ave, Albany, NY 12208-3409 | 2007-01-03 |
1225645922 | Joanna Walton | Registered Nurse | 75 New Scotland Ave, Albany, NY 12208-3409 | 2020-09-26 |
1033745351 | Pamela Marie Dolacky | Registered Nurse | 75 New Scotland Ave, Albany, NY 12208-3474 | 2020-03-18 |
1871129346 | Emilie Valcin Bien-aime | Registered Nurse | 75 New Scotland Ave, Albany, NY 12208-3409 | 2020-03-17 |
1184256547 | Jolene Bariteau | Recreational Therapist Assistant | 75 New Scotland Ave, Albany, NY 12208-3409 | 2020-02-04 |
1972134476 | Mary Pamberi | Registered Nurse | 75 New Scotland Ave, Albany, NY 12208-3409 | 2020-02-03 |
1164053112 | Jennifer Martin | Dietitian, Registered | 75 New Scotland Ave, Albany, NY 12208-3474 | 2020-01-29 |
1588200331 | Brianna Wright | Social Worker | 75 New Scotland Ave, Albany, NY 12208-3409 | 2019-11-26 |
1891347712 | Monique Stewart | Registered Nurse | 75 New Scotland Ave, Albany, NY 12208 | 2019-07-11 |
1316599384 | Tella Stanfield | Registered Nurse | 75 New Scotland Ave, Albany, NY 12208 | 2019-07-10 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255959045 | Fatima Mahmood | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave, Department of Internal Medicine, Albany, NY 12208 | 2020-07-08 |
1861021784 | Jessica Anne Charles-larose | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept. of Family Medicine, Albany, NY 12208 | 2020-04-02 |
1235767211 | Michael Charles Harrington | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept. of Orthopedic Surgery, Albany, NY 12208 | 2020-03-27 |
1518594126 | Arkar Htoo | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept of Pathology, Albany, NY 12208 | 2020-03-24 |
1366079030 | Omar Merdan | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave, Dept of Medicine/pediatrics, Albany, NY 12208 | 2020-03-24 |
1306473079 | Sergo Gabunia | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept of General Surgery, Albany, NY 12208 | 2020-03-24 |
1205469392 | Cornell Andre Morris | Social Worker | Albany Stratton Va Medical Center, 113 Holland Avenue, Albany, NY 12208 | 2020-02-17 |
1558909234 | St. Peter's Health Partners Medical Associates, P.C. | Surgery | 319 South Manning Blvd Suite 310, Capital Region Colon & Rectal Surgery, Albany, NY 12208 | 2019-12-13 |
1912543265 | Meghan Rose Baxter | Social Worker | 58 Academy Rd., Albany, NY 12208 | 2019-11-21 |
1245883461 | Gwendolyn Medak | Registered Nurse | 15 New Scotland Ave, Albany, NY 12208 | 2019-07-17 |
Find all providers in zip 12208 |
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 |
---|---|---|---|---|
1558910208 | Leslie Van Buren Waite Jr. | Psychologist | 113 Holland Ave Rm C1017, Albany, NY 12208-3410 | 2019-09-05 |
1962971762 | Robert David Cardom | Psychologist | 33 Woodlake Rd Ste 104, Albany, NY 12203-4057 | 2018-11-21 |
1831665157 | Bhumi Mehta | Psychologist | 125 Silver Leaf Dr, Albany, GA 31721-7704 | 2018-10-15 |
1013404870 | Julia Margaretha Hormes | Psychologist | 260 Washington Avenue Ext Ste 101, Albany, NY 12203-6326 | 2018-04-17 |
1184160715 | Brett Hartman | Psychologist | 1762 Central Ave Ste 201, Albany, NY 12205-4777 | 2017-01-06 |
1689121774 | Daniel Ryan Hoffman | Psychologist | 53 Mercer St, Albany, NY 12203-3616 | 2016-09-06 |
1043658404 | Brooke Picotte | Psychologist | 20 Corporate Woods Blvd, Suite 600, Albany, NY 12211-2396 | 2013-06-07 |
1215273685 | Alan Galgana | Psychologist | 44 Holand Ave, Bureau of Behavioral and Clinical Solutions, Albany, NY 12229-0001 | 2012-12-12 |
1285953612 | Katja E Mohr | Psychologist | 845 Santa Fe Ave, Albany, CA 94706-1823 | 2010-05-25 |
1831322809 | Jed Sekoff | Psychologist | 909 Ordway St, Albany, CA 94706-2115 | 2009-08-25 |
Find all providers in ALBANY |
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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.