DR. MARK H. WAGNER


Address: 75 New Scotland Ave, Cdpc - Child and Adolescent Service, Albany, NY 12208-3409
Phone: 5184479647

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist 018860 NY Behavioral Health & Social Service Providers

Other Providers MARK WAGNER

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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

Office Location

Street Address 75 NEW SCOTLAND AVE
CDPC - CHILD AND ADOLESCENT SERVICE
City ALBANY
State NY
Zip Code 12208-3409

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
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Competitor

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City ALBANY
Zip Code 12208

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Dataset Information

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.

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