DR. DANA BETH WAGNER (NPI# 1336457514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336457514 |
| Entity Type | Individual |
| Full Name | DR. DANA BETH WAGNER |
| Credential | PSYD |
| Practice Address |
1819 Bay Scott Cir Suite 109 Naperville IL 60540-1129 |
| Practice Telephone | 6303572456 |
| Practice Fax Number | 6303572482 |
| Mailing Telephone | 6303572456 |
| Mailing Fax Number | 6303572482 |
| Enumeration Date | 2010-09-21 |
| Last Update Date | 2010-09-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
071.006933 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710260567 | Dana Wagner | Home Health | 1055 Chauvet Rd, Glen Ellen, CA 95442-1111 | 2011-09-27 |
| 1194958637 | Dana Wagner | Case Manager/Care Coordinator | 3717 Taylorsville Rd, Louisville, KY 40220-1333 | 2009-09-01 |
| Street Address |
1819 BAY SCOTT CIR SUITE 109 |
| City | NAPERVILLE |
| State | IL |
| Zip Code | 60540-1129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356337612 | Mark Ramirez | Counselor | 1819 Bay Scott Cir, Ste. 109, Naperville, IL 60540-1129 | 2005-09-22 |
| 1619509221 | David Seisser | Social Worker | 1819 Bay Scott Cir, Naperville, IL 60540-1129 | 2020-02-11 |
| 1912318494 | Donna Fletcher | Social Worker | 1819 Bay Scott Cir, Suite 109, Naperville, IL 60540-1129 | 2014-05-18 |
| 1720429913 | Margaret June Mckenzie | Social Worker | 1819 Bay Scott Cir, Suite 109, Naperville, IL 60540-1129 | 2013-07-16 |
| 1851734909 | William David Duke Jr. | Counselor | 1819 Bay Scott Cir, Ste. 109, Naperville, IL 60540-1129 | 2013-04-08 |
| 1104127471 | Nancy Ann Kratz | Psychologist | 1819 Bay Scott Cir, Suite 109, Naperville, IL 60540-1129 | 2010-11-03 |
| 1205140811 | Michael W. Bradburn | Counselor | 1819 Bay Scott Cir, Suite 109, Naperville, IL 60540-1129 | 2010-08-06 |
| 1417919598 | Maureen Ann Villageliu | Pediatrics | 1819 Bay Scott Cir, Suite # 105, Naperville, IL 60540-1129 | 2006-04-04 |
| 1497731962 | Dawn Catherine Kroencke | Psychologist | 1819 Bay Scott Cir, Suite 109, Naperville, IL 60540-1129 | 2005-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760007678 | Mandalai Oral and Maxillofacial Surgery PC | Oral & Maxillofacial Surgery | 720 S. Brom Drive Suite 103, Naperville, IL 60540 | 2020-06-16 |
| 1316418957 | James Edward Frank | Counselor | 600 South Washington Street, Suite 302, Naperville, IL 60540 | 2018-12-07 |
| 1093208332 | Ingrid Johnson | Developmental Therapist | Right Start Pediatric Therapies, 50 S Main St Suite 200, Naperville, IL 60540 | 2018-06-12 |
| 1225528524 | Tara Rada Nieberding | Contractor | 1701 Quincy Ave Ste 12, Naperville, IL 60540 | 2018-05-14 |
| 1588182190 | Debra Xiangjun Hayes | Acupuncturist | 226 N Washington St # 2, Naperville, IL 60540 | 2017-09-03 |
| 1487197166 | Health Improvement and Preventive Services LLC | Family Medicine | 1979 Mcdowell Rd., Suite 103, Naperville, IL 60540 | 2016-11-29 |
| 1588013775 | Matthew Jacob Imber | Chiropractor | 1220 Hobson Rd Ste 220, Naperville, IL 60540 | 2016-06-08 |
| 1457711418 | Elite Pain Medical Group Inc | Physical Medicine & Rehabilitation | 720 South Brom Drive, Suite 201, Naperville, IL 60540 | 2016-03-03 |
| 1265814800 | Jenifer Lynn Mersman | Chiropractor | 475 River Bend Rd. Suite 104, Naperville, IL 60540 | 2015-06-19 |
| 1386038016 | Jonathon Martin Ruiz | Specialist/Technologist | 440 N Brainard Street, Naperville, IL 60540 | 2015-03-19 |
| Find all providers in zip 60540 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558978379 | Youngok Kim | Psychologist | 1260 Iroquois Ave Ste 204, Naperville, IL 60563-8548 | 2020-09-25 |
| 1194366930 | Miranda Meadows | Psychologist | 121 N Washington St Ste 2n, Naperville, IL 60540-4558 | 2019-10-02 |
| 1750854204 | Melissa Geraghty | Psychologist | 750 E Diehl Rd Ste 127, Naperville, IL 60563-2384 | 2019-01-08 |
| 1659852044 | Jesse R Fleck | Psychologist | 212 Elmwood Dr, Naperville, IL 60540-7507 | 2018-08-24 |
| 1174018873 | Debra Gomez and Associates, Inc. | Psychologist | 1607 N Aurora Rd Ste 204, Naperville, IL 60563-2786 | 2018-06-25 |
| 1225491848 | Ashley Marie Rolnik | Psychologist | 3735 Mandeville Ln, Naperville, IL 60564-6130 | 2016-03-31 |
| 1205253762 | Victoria Marks | Psychologist | 475 River Bend Rd Ste 400a, Naperville, IL 60540-5263 | 2014-03-23 |
| 1518208560 | Kyle A Weber Phd LLC | Psychologist | 1555 Naperville Wheaton Road, Suite 201, Naperville, IL 60563 | 2013-03-14 |
| 1255679544 | David Edward Nowak | Psychologist | 143 Pier Ct, Naperville, IL 60565-1476 | 2013-01-22 |
| 1396094959 | Matter Clinical Services, P.C. | Psychologist | 475 River Bend Road, Suite 304, Naperville, IL 60540 | 2012-08-29 |
| Find all providers in NAPERVILLE | ||||
| City | NAPERVILLE |
| Zip Code | 60540 |
Please comment or provide details below to improve the information on DR. DANA BETH WAGNER.
| 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.