DR. PATRICIA ELLEN WAGNER (NPI# 1467592261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467592261 |
| Entity Type | Individual |
| Full Name | DR. PATRICIA ELLEN WAGNER |
| Credential | PH.D. |
| Practice Address |
530 Oak St Syracuse NY 13203-1652 |
| Practice Telephone | 3154785890 |
| Mailing Telephone | 3154785890 |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103T00000X | Psychologist | 012016-1 | NY | Behavioral Health & Social Service Providers |
| X | 103TA0700X |
Psychologist Specialization: Adult Development & Aging |
012016-1 | NY | Behavioral Health & Social Service Providers |
| X | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
012016-1 | NY | Behavioral Health & Social Service Providers |
| X | 103TC0700X |
Psychologist Specialization: Clinical |
012016-1 | NY | Behavioral Health & Social Service Providers |
| X | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
012016-1 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215332705 | Patricia Anne Wagner | Specialist/Technologist | 1401 Blackfoot Trl, Woodland Park, CO 80863-8304 | 2014-10-27 |
| 1851606602 | Patricia M Wagner | Physical Therapy Assistant | 126 Hanover St, Carnegie, PA 15106-1204 | 2010-08-17 |
| 1730493453 | Patricia Wagner | Pharmacist | 2119 S Us Highway 27, Saint Johns, MI 48879-9166 | 2010-08-05 |
| 1770031759 | Patricia Wagner | Nurse Practitioner | 1200 E Woodhurst Dr, Q200, Springfield, MO 65804-4261 | 2016-09-19 |
| 1902200322 | Patricia Marie Wagner | Occupational Therapist | 65 N Meadowcroft Dr, Akron, OH 44313-6251 | 2014-10-14 |
| 1689015174 | Patricia M Wagner | Occupational Therapist | 179 Sw 5th Ave, Meridian, ID 83642-2995 | 2013-07-12 |
| 1306195078 | Patricia Ann Wagner | Nurse Practitioner | 3980 Sheridan Dr, Amherst, NY 14226-1727 | 2012-09-10 |
| 1902191224 | Patricia Wagner | Nurse Practitioner | 7809 Wisconsin Ave, Bethesda, MD 20814-3523 | 2011-06-15 |
| 1568753952 | Patricia A Wagner | Registered Nurse | 760 Hospital Circle, Browning, MT 59417-0730 | 2011-04-20 |
| 1730490202 | Patricia A Wagner | Pharmacist | 10 Central Ave, Ilion, NY 13357-1822 | 2010-06-29 |
| Street Address |
530 OAK ST |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13203-1652 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093809204 | Kathleen Anne Riley-tryon | Social Worker | 530 Oak St, Syracuse, NY 13203-1652 | 2006-10-03 |
| 1538790159 | Bridgette Ann Huntley | Marriage & Family Therapist | 530 Oak St, Syracuse, NY 13203-1652 | 2020-02-01 |
| 1881906899 | Meaghan Malaney | Marriage & Family Therapist | 530 Oak St, Syracuse, NY 13203-1652 | 2010-07-07 |
| 1841328051 | Kimberlee Francis Vargas | Social Worker | 530 Oak St, Suite 203, Syracuse, NY 13203-1652 | 2007-03-01 |
| 1740316322 | Tanya S. Bowen | Psychologist | 530 Oak St, Suite 105, Syracuse, NY 13203-1652 | 2007-02-26 |
| 1700927746 | Mitchell Jaffe | Marriage & Family Therapist | 530 Oak St, Syracuse, NY 13203-1652 | 2007-02-11 |
| 1942340757 | Mary Marlene Ryan | Psychologist | 530 Oak St, Syracuse, NY 13203-1652 | 2007-02-08 |
| 1356408785 | Gerda Bernice Vandyck | Counselor | 530 Oak St, 5, Syracuse, NY 13203-1652 | 2007-01-03 |
| 1528123494 | Thomas Schur | Social Worker | 530 Oak St, Syracuse, NY 13203-1652 | 2006-12-22 |
| 1497810246 | Harmony Healing | Counselor | 530 Oak St, Syracuse, NY 13203-1652 | 2006-12-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659998193 | Allison Elizabeth Mills | Social Worker | 1045 James St., Syracuse, NY 13203 | 2020-07-01 |
| 1467004333 | Humanitarian Organization for Multicultural Experiences, Inc. | Psychologist | 831 James Street, Syracuse, NY 13203 | 2019-07-11 |
| 1215405287 | Wellness Therapy Services Lcsw, Pllc | Counselor | Wellness Therapy Services Lcsw, Pllc, 404 Oak St. #200, Syracuse, NY 13203 | 2018-11-08 |
| 1962904912 | Michael Musante | Developmental Therapist | 1045 James Streret, Syracuse, NY 13203 | 2018-03-06 |
| 1811410236 | Lindsey Deborah Sanborn | Nurse Practitioner | 301 Prospect Avenue St. Josephs's Hospital Health Cente, Syracuse, NY 13203 | 2017-07-18 |
| 1497205975 | Phuong Pham | Counselor | 329 North Salina Street, Syracuse, NY 13203 | 2016-10-10 |
| 1942754015 | Shelly Lynn Peters | Nurse Practitioner | 329 N. Salina Street, Helio Health, Syracuse, NY 13203 | 2016-08-06 |
| 1932574217 | Kaleigh Marie Andino | Audiologist | 1001 James Street, Syracuse, NY 13203 | 2015-12-11 |
| 1376889493 | Brenda S Hartman-souder | Social Worker | 526 Oak St., Syracuse, NY 13203 | 2012-12-18 |
| 1386914711 | Steven W Dimarzo | Counselor | 404 Oak St Ste 320, Syracuse, NY 13203 | 2012-01-02 |
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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] |
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| 1306499728 | Eileen E Fitzpatrick | Psychologist | 4290 Fay Rd, Syracuse, NY 13219-3045 | 2019-07-24 |
| 1134608334 | Jill Erin Majeski | Psychologist | 1 Childrens Cir, Syracuse, NY 13210-1634 | 2018-08-08 |
| 1710369673 | Kristin O'kane | Psychologist | 100 Intrepid Ln Ste 2, Syracuse, NY 13205-2546 | 2015-06-26 |
| 1912327495 | Afton N. Kapuscinski | Psychologist | 804 University Ave Ste 201, Syracuse, NY 13244-2340 | 2014-04-23 |
| 1750666830 | Christine L Tyrrell-baker | Psychologist | 220 Herald Place, 4th Floor, Syracuse, NY 13202-5002 | 2011-10-20 |
| 1114186012 | Kelly Marleah Harrington | Psychologist | 300 Audubon Pkwy Apt 94, Syracuse, NY 13224-1245 | 2008-06-05 |
| 1720137169 | Alice S Honig | Psychologist | 317 Allen St, Syracuse, NY 13210-1344 | 2007-01-08 |
| 1295811198 | Mark A Matloff | Psychologist | 409 Standish Drive, Syracuse, NY 13224 | 2006-10-31 |
| Find all providers in SYRACUSE | ||||
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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.