BRITT ELISIA WAGNER (NPI# 1275680779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275680779 |
| Entity Type | Individual |
| Full Name | BRITT ELISIA WAGNER |
| Credential | L.L.P. |
| Practice Address |
725 Mason St Flint MI 48503-2421 |
| Mailing Address |
115 N Adelaide St Fenton MI 48430-2614 |
| Practice Telephone | 8102571325 |
| Mailing Telephone | 8107502720 |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 6301009571 | MI | Behavioral Health & Social Service Providers |
| Street Address |
725 MASON ST |
| City | FLINT |
| State | MI |
| Zip Code | 48503-2421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952354631 | Francesca M Petrilli | Nurse Practitioner | 725 Mason St, Flint, MI 48503-2421 | 2006-05-17 |
| 1275183535 | Drita Nuculovic | Licensed Practical Nurse | 725 Mason St, Flint, MI 48503-2421 | 2019-09-18 |
| 1750930590 | Mallory Lynn Campbell | Registered Nurse | 725 Mason St, Flint, MI 48503-2421 | 2019-09-04 |
| 1922593847 | Kyle Taylor | Nurse Practitioner | 725 Mason St, Flint, MI 48503-2421 | 2018-06-22 |
| 1174022735 | Shirley Cathey | Peer Specialist | 725 Mason St, Flint, MI 48503-2421 | 2018-02-08 |
| 1205346939 | Genesee Health System | Clinic/Center | 725 Mason St, Flint, MI 48503-2421 | 2017-10-09 |
| 1427587120 | Rachael Elizabeth Compeau | Nurse Practitioner | 725 Mason St, Flint, MI 48503 | 2017-06-06 |
| 1043678303 | Angelya Higginbotham | Social Worker | 725 Mason St, Flint, MI 48503-2421 | 2016-02-02 |
| 1366849374 | Kelsey Ellis | Occupational Therapist | 725 Mason St, Flint, MI 48503-2421 | 2014-11-20 |
| 1083043202 | Thomas Matus | Social Worker | 725 Mason St, Flint, MI 48503-2421 | 2013-11-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457971640 | Flint Odyssey House Inc. | Community/Behavioral Health | 1219 Martin Luther King Avenue, Flint, MI 48503 | 2020-04-17 |
| 1891265476 | Mary Margaret Woodruff | Health Educator | 411 E. Third St Suite 2, Flint, MI 48503 | 2018-11-27 |
| 1669942223 | Donna Jean Phelps | Behavior Technician | 2284 S Ballenger Highway, Flint, MI 48503 | 2018-11-27 |
| 1588150601 | Dayonna Scott | Social Worker | Hope Network, 2830 Corunna Rd, Flint, MI 48503 | 2018-07-02 |
| 1801388020 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2284 S Ballenger Hwy Ste F, Flint, MI 48503 | 2018-06-04 |
| 1134610504 | Swathi Gorle | Student in an Organized Health Care Education/Training Program | Hurley Medical Center, 1 Hurley Plaza, Flint, MI 48503 | 2018-05-22 |
| 1881128049 | Kara Garr | Registered Nurse | 805 Tuuri Pl, Flint, MI 48503 | 2017-04-14 |
| 1518405638 | Thomasinia Terrell | Peer Specialist | 422 W Fourth Ave, Flint, MI 48503 | 2017-02-09 |
| 1790231041 | Roslyn Boyce | Technician, Other | 2213 E. Court Street, Flint, MI 48503 | 2016-08-28 |
| 1689120818 | Yasmine Elhefnawy | Student in an Organized Health Care Education/Training Program | One Hurley Plaza 3d West, Flint, MI 48503 | 2016-08-28 |
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| 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 |
|---|---|---|---|---|
| 1760984348 | Melissa Dawn Hoffman | Psychologist | 5402 Gateway Centre Drive, Suite B, Flint, MI 48507 | 2018-02-28 |
| 1114358900 | Katie Lynn Bowers | Psychologist | 2700 Robert T Longway Blvd Ste G, Flint, MI 48503-2190 | 2013-12-05 |
| 1851730329 | Teresa Marie Lukasavitz | Psychologist | 1063 Professional Dr # D4, Flint, MI 48532-3636 | 2013-06-18 |
| 1821115049 | Jodi Cavanaugh | Psychologist | 420 W. 5th Avenue, Flint, MI 48503 | 2007-03-23 |
| 1902981699 | William Dawson Daniels | Psychologist | G-4511 Miller Rd, Flint, MI 48507 | 2006-10-25 |
| 1043245533 | Jamail Psychological Clinic PC | Psychologist | 1114 Beach St, Flint, MI 48502-1407 | 2006-07-12 |
| 1700868288 | Christopher John Danko | Psychologist | 5710 Clio Rd, Flint, MI 48504-1524 | 2005-11-18 |
| 1124634639 | June Nguyen Westdal | Psychologist | 2700 Robert T Longway Blvd Ste G, Flint, MI 48503-2190 | 2020-09-20 |
| 1932714615 | Jason Mark Scimemi | Psychologist | 1309 S Linden Rd Ste C, Flint, MI 48532-3443 | 2020-09-10 |
| 1306490370 | Premier Thinking Mental Health Services, LLC | Psychologist | 4058 N Linden Rd Ste H, Flint, MI 48504-1381 | 2019-07-29 |
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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.