BRENDA LAGUNAS WILEY (NPI# 1497104699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497104699 |
| Entity Type | Individual |
| Full Name | BRENDA LAGUNAS WILEY |
| Other Name | BRENDA LAGUNAS |
| Credential | PHD, LP |
| Practice Address |
1725 S Naperville Rd Ste 110 Wheaton IL 60189-5855 |
| Mailing Address |
1300 E Bradford Pkwy Springfield MO 65804-4264 |
| Practice Telephone | 6305094911 |
| Mailing Telephone | 4177615000 |
| Mailing Fax Number | 4177615065 |
| Enumeration Date | 2016-06-08 |
| Last Update Date | 2020-09-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 2018031217 | MO | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 490059317 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1339 20th St, Santa Monica, CA 904042033 | 3108298921 | 3108298455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346417946 | Brenda E Wiley | Physical Therapist | 6801 Lucy Corr Ct, Chesterfield, VA 23832-6657 | 2008-05-13 |
| 1801064266 | Brenda S. Wiley | Nurse Practitioner | 7900 W Jefferson Blvd, Suite 201, Fort Wayne, IN 46804-4128 | 2008-02-19 |
| Street Address |
1725 S NAPERVILLE RD STE 110 |
| City | WHEATON |
| State | IL |
| Zip Code | 60189-5855 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295112373 | Ruslana Menasce | Counselor | 1725 S Naperville Rd Ste 110, Wheaton, IL 60189-5855 | 2015-04-28 |
| 1538767413 | Christine Maher | Counselor | 1725 S Naperville Rd Ste 110, Wheaton, IL 60189-5855 | 2020-10-13 |
| 1215544929 | Maithri Ramesh Malladi | Behavioral Analyst | 1725 S Naperville Rd Ste 110, Wheaton, IL 60189-5855 | 2020-09-26 |
| 1942827886 | Emily Roy-krejci | Behavior Technician | 1725 S Naperville Rd Ste 110, Wheaton, IL 60189-5855 | 2020-06-26 |
| 1770105454 | Colleen M Mulcrone | Speech-Language Pathologist | 1725 S Naperville Rd Ste 110, Wheaton, IL 60189-5855 | 2020-05-15 |
| 1326672007 | Vi Vo | Behavior Technician | 1725 S Naperville Rd Ste 110, Wheaton, IL 60189-5855 | 2020-03-02 |
| 1366074221 | Brittany Taylor Berg | Behavior Technician | 1725 S Naperville Rd Ste 110, Wheaton, IL 60189-5855 | 2020-02-09 |
| 1144852062 | Elizabeth Thanh Le | Behavior Technician | 1725 S Naperville Rd Ste 110, Wheaton, IL 60189-5855 | 2020-02-08 |
| 1134766769 | Kaelin Hogan | Speech-Language Pathologist | 1725 S Naperville Rd Ste 110, Wheaton, IL 60189-5855 | 2019-12-02 |
| 1699311001 | Portia Arezou Shirani | Behavior Technician | 1725 S Naperville Rd Ste 110, Wheaton, IL 60189-5855 | 2019-11-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437633476 | Elizabeth Marie Donisch | Dietitian, Registered | 1288 Salford Ct., Wheaton, IL 60189 | 2018-09-15 |
| 1144716457 | Rangsons Healthcare, LLC | Psychiatry & Neurology | 1737 S Naperville Rd Ste 203, Wheaton, IL 60189 | 2018-07-10 |
| 1407372204 | Patricia E Janosy | Social Worker | 2s533 White Birch Labe, Wheaton, IL 60189 | 2017-08-14 |
| 1700300969 | Caroline Bartholomew | Speech-Language Pathologist | 15 Venetian Way, Wheaton, IL 60189 | 2017-07-31 |
| 1164951521 | Celinne Mencias | Nurse Practitioner | 1489 S. Prospect St., Wheaton, IL 60189 | 2017-06-08 |
| 1922496496 | Adventist Health Partners, Inc. | Family Medicine | 1147 E Butterfield Rd, Wheaton, IL 60189 | 2015-01-06 |
| 1821491937 | West Suburban Endodontics LLC | Dentist | 1749 S Naperville Road, Suite 100, Wheaton, IL 60189 | 2014-10-02 |
| 1467855841 | Veronika Vlasov | Chiropractor | 1445 S. Lorraine Rd. #211, Wheaton, IL 60189 | 2014-09-30 |
| 1053754242 | Donald Jeffery Ebalo | Internal Medicine | 25 W 740 Red Maple Lane, Wheaton, IL 60189 | 2013-04-08 |
| 1841532694 | Inclusive Assistance Corp | Nursing Care | 2s680 Cree Lane, Wheaton, IL 60189 | 2013-03-20 |
| Find all providers in zip 60189 | ||||
| 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 |
|---|---|---|---|---|
| 1952896755 | Jacqueline Leigh Sierzega | Psychologist | 1737 S Naperville Rd Ste 206, Wheaton, IL 60189-5894 | 2018-06-25 |
| 1710396510 | Alexey Tolchinsky | Psychologist | 11303 Amherst Ave Ste 1, Wheaton, MD 20902-4600 | 2014-08-05 |
| 1538593074 | Deborah Bates | Psychologist | 300 E Roosevelt Rd Ste 105, Wheaton, IL 60187 | 2013-08-31 |
| 1992084578 | Erika Knuth | Psychologist | 2100 Manchester Rd Ste 400i, Wheaton, IL 60187-4586 | 2011-08-12 |
| 1487960852 | Thomas Torkelson | Psychologist | 25w765 Prairie Ave, Wheaton, IL 60187-3939 | 2010-08-24 |
| 1346368362 | Lorna I Crowl | Psychologist | 402 E Roosevelt Rd, Wheaton, IL 60187 | 2007-03-27 |
| 1326172073 | Karen Leigh Maudlin | Psychologist | 610 W Roosevelt Rd Ste B1, Wheaton, IL 60187-2303 | 2007-03-15 |
| 1588743231 | Paul J Mullen | Psychologist | 55 E Loop Rd Ste 203, Wheaton, IL 60189-1938 | 2006-11-03 |
| 1427136738 | Margaret A. Nagib | Psychologist | 422 W Wesley St, Wheaton, IL 60187-4926 | 2006-11-02 |
| 1508944208 | Ellen Marie Keating | Psychologist | 2100 Manchester Rd Ste 1070, Wheaton, IL 60187-4579 | 2006-11-01 |
| Find all providers in WHEATON | ||||
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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.