CYNTHIA A WAGNER (NPI# 1356441174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356441174 |
| Entity Type | Individual |
| Full Name | CYNTHIA A WAGNER |
| Credential | LLP |
| Practice Address |
15209 W Michigan Ave Marshall MI 49068-9570 |
| Practice Telephone | 2697819119 |
| Practice Fax Number | 2697814347 |
| Mailing Telephone | 2697819119 |
| Mailing Fax Number | 2697814347 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2013-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 6301007919 | MI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | LICENSE | 6301007919 | 01 |
| MI | BCBS OF MI | 7509107630 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144519828 | Cynthia Wagner | Social Worker | 24013 51st Ave, Douglaston, NY 11362-1023 | 2011-04-01 |
| 1962706176 | Cynthia Wagner | Counselor | 3801 Fairfax Dr Ste 61, Arlington, VA 22203-1762 | 2011-01-03 |
| 1487802237 | Cynthia Ann Wagner | Massage Therapist | 407 W 15th St Ste 1, Edmond, OK 73013-3668 | 2008-09-05 |
| 1861768970 | Cynthia Wagner | Nurse Practitioner | 440 E Marshall St Ste 201, West Chester, PA 19380-5414 | 2012-03-23 |
| 1477853794 | Cynthia Wise Wagner | Speech-Language Pathologist | 330 Brookline Ave, Beth Israel Deaconess Med Center, West Campus, Span 106, Boston, MA 02215-5400 | 2010-11-03 |
| 1346540952 | Cynthia Carter Wagner | Social Worker | 1310 24th Ave S, Nashville, TN 37212-2637 | 2010-10-29 |
| 1114046034 | Cynthia Ellen Wagner | Social Worker | 439 W 97th St, Los Angeles, CA 90003-3968 | 2007-03-29 |
| 1053428532 | Cynthia L Wagner | Occupational Therapist | 310 Smith Ave N Ste 370, Saint Paul, MN 55102-2383 | 2006-08-23 |
| Street Address |
15209 W MICHIGAN AVE |
| City | MARSHALL |
| State | MI |
| Zip Code | 49068-9570 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861433211 | Anoop Thakur | Psychiatry & Neurology | 15209 W Michigan Ave, Marshall, MI 49068-9570 | 2006-06-09 |
| 1336518281 | Amy Vanzandt | Counselor | 15209 W Michigan Ave, Marshall, MI 49068-9570 | 2015-09-22 |
| 1205217114 | Andrea Kay Landesman Jonsson | Psychiatry & Neurology | 15209 W Michigan Ave, Marshall, MI 49068-9570 | 2015-06-16 |
| 1215318431 | Lesli Dingee | Counselor | 15209 W Michigan Ave, Marshall, MI 49068-9570 | 2015-06-12 |
| 1164828612 | Ashley Hartfik | Counselor | 15209 W Michigan Ave, Marshall, MI 49068 | 2014-11-11 |
| 1134419575 | Susan Lynn Lowe | Counselor | 15209 W Michigan Ave, Marshall, MI 49068-9570 | 2011-04-19 |
| 1073825188 | Shobhana Sharad Joshi | Psychiatry & Neurology | 15209 W Michigan Ave, Marshall, MI 49068-9570 | 2010-07-06 |
| 1821317991 | Syed Q Quadri | Psychiatry & Neurology | 15209 W Michigan Ave, Marshall, MI 49068-9570 | 2010-05-27 |
| 1659569002 | Alexia Marie Smith | Nurse Practitioner | 15209 W Michigan Ave, Marshall, MI 49068-9570 | 2007-10-11 |
| 1891987335 | Sarah E. Mannes | Psychologist | 15209 W Michigan Ave, Marshall, MI 49068-9570 | 2007-08-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003413774 | Mikeayla Pellegrino | Speech-Language Pathologist | 103 E Mansion St Ricketson Building, Marshall, MI 49068 | 2020-10-06 |
| 1306499108 | Kari Ann Scarbrough | Nurse Practitioner | 200 N Madison, Marshall, MI 49068 | 2019-07-20 |
| 1164994976 | Emily Thrower | Advanced Practice Midwife | 215 E. Mansion Street, Suite 3d, Marshall, MI 49068 | 2018-12-19 |
| 1205359106 | Alexandrea Jade Garbus | Advanced Practice Midwife | 215 E Mansion St Ste 3d, Marshall, MI 49068 | 2017-07-23 |
| 1861948671 | Jaina Schank | Occupational Therapist | 879 E Michigan Avenue, Medilodge of Marshall, Marshall, MI 49068 | 2016-08-31 |
| 1609234426 | Maria Miller | Dental Hygienist | 111 N. Jefferson St, Suite 1, Marshall, MI 49068 | 2016-02-08 |
| 1235594342 | Shelly Wisz | Nurse Practitioner | 720 Old Us 27 North, Marshall, MI 49068 | 2015-12-17 |
| 1225447659 | Charles Middleton | Physical Therapist | 823 W Michigan Ave, Marshall, MI 49068 | 2014-08-11 |
| 1952662538 | Angela Louise Robin | Podiatrist | 1600 S Kalamazoo Ave, Marshall, MI 49068 | 2012-05-31 |
| 1245598606 | Ziad Kanaan | Internal Medicine | 215 E Mansion St Ste 3a, Marshall, MI 49068 | 2012-04-24 |
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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 |
|---|---|---|---|---|
| 1841479235 | Mary J Rademacher | Psychologist | 1209 E College Dr, Marshall, MN 56258-6400 | 2007-11-01 |
| 1184743841 | Tom L. Hartline | Psychologist | 1271 S Salt Pond Ave, Marshall, MO 65340-3040 | 2007-03-27 |
| 1407877327 | Kristin Ann Tenney-blackwell | Psychologist | 111 N Jefferson St, Suite 6, Marshall, MI 49068-1552 | 2006-07-23 |
| 1760469597 | Frances A Spickerman | Psychologist | 566 S Odell Ave, Marshall, MO 65340-2123 | 2005-12-22 |
| 1972508034 | Richard Sayner | Psychologist | 420 N Center St, Marshall, AR 72650-9444 | 2005-06-16 |
| 1457400806 | Ella E M Brown Charitable Circle | Psychologist | 15209 W Michigan Ave, Marshall, MI 49068-9570 | 2007-01-08 |
| 1790872034 | Donald Ray Horner | Psychologist | 15209 W Michigan Ave, Marshall, MI 49068-9570 | 2006-10-06 |
| 1932200979 | Lynn M Van Gieson-culver | Psychologist | 15209 W Michigan Ave, Marshall, MI 49068-9570 | 2006-09-25 |
| 1225139256 | Barbara J Keyes | Psychologist | 15209 W Michigan Ave, Marshall, MI 49068-9570 | 2006-09-25 |
| 1265532089 | John M Tobin | Psychologist | 15209 W Michigan Ave, Marshall, MI 49068-9570 | 2006-09-22 |
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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.