PATRICK A WAGNER PHD PC (NPI# 1548595440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548595440 |
| Entity Type | Organization |
| Organization Name | PATRICK A WAGNER PHD PC |
| Practice Address |
1253 North Deer Run E Drive Shelbyville IN 46176 |
| Mailing Address |
17330 W Center Rd Suite 110-282 Omaha NE 68130-2392 |
| Practice Telephone | 3173988146 |
| Mailing Telephone | 3174469288 |
| Enumeration Date | 2009-10-09 |
| Last Update Date | 2009-10-09 |
| Authorized Official Name | PATRICK A WAGNER (PSYCHOLOGIST/OWNER) |
| Authorized Official Telephone | 3173988146 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 20010493A | IN | Behavioral Health & Social Service Providers |
| Street Address |
1253 NORTH DEER RUN E DRIVE |
| City | SHELBYVILLE |
| State | IN |
| Zip Code | 46176 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043875180 | Usrc Mhp, LLC | Clinic/Center | 2460 Intelliplex Dr Ste 120, Shelbyville, IN 46176 | 2019-05-03 |
| 1679056899 | Debra Lynn Phillips | Counselor | 2434 E Sr 44, Shelbyville, IN 46176 | 2018-09-13 |
| 1083138762 | Megan Kari Battles | Specialist/Technologist | 3429 N 625 E, Shelbyville, IN 46176 | 2017-08-03 |
| 1336677046 | John Paul Bonvillian | Podiatrist | Major Hospital, 2451 Intelliplex Dr, Shelbyville, IN 46176 | 2017-05-24 |
| 1497202972 | Michael Neice | Non-emergency Medical Transport (VAN) | 4427 N Billman Estate, Shelbyville, IN 46176 | 2016-09-01 |
| 1972869923 | Joseph Moheban | General Practice | 1120 Spring Hill Dr., Shelbyville, IN 46176 | 2012-04-04 |
| 1740475326 | Assisted Living Concepts Inc | Assisted Living Facility | 2216 North Riley Highway, Shelbyville, IN 46176 | 2007-09-07 |
| 1073734711 | Katherine M Leugers | Counselor | 7 E Hendricks Street, Shelbyville, IN 46176 | 2007-05-01 |
| 1649394479 | Kay Lynne Zietlow | Pharmacist | 1412 Miller Avenue, Shelbyville, IN 46176 | 2007-03-19 |
| 1255426391 | Brian Gerald Elliott | Podiatrist | 275 West Bassett Rd., Suite 4, Shelbyville, IN 46176 | 2006-10-04 |
| Find all providers in zip 46176 | ||||
| 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 |
|---|---|---|---|---|
| 1326511072 | James William Erikson | Psychologist | 6071 Edgemont Way, Shelbyville, KY 40065-6323 | 2019-01-05 |
| 1982123964 | J Chapman Psychological Associates | Psychologist | 102 Indy Ct, Shelbyville, TN 37160-7394 | 2017-09-11 |
| 1316226590 | Amy B Gonshak | Psychologist | 4031 Firestone Way, Shelbyville, KY 40065-6305 | 2011-08-05 |
| 1134729676 | Sarah Elizabeth Bowman Grattan | Psychologist | 1028 Main St, Shelbyville, KY 40065-1315 | 2020-10-26 |
| 1659847978 | Geriatric Psychology Affiliates LLC | Psychologist | 118 Maupin Cir, Shelbyville, TN 37160-3781 | 2018-10-15 |
| 1336659408 | J Chapman Psychological Associates Plc | Psychologist | 102 Indy Ct, Shelbyville, TN 37160-7394 | 2017-10-03 |
| 1346652013 | Glenn Truman Harris | Psychologist | 250 Alpine Dr, Shelbyville, KY 40065-8880 | 2014-05-28 |
| 1871919977 | Whitten Psychological Services, Pllc. | Psychologist | 1028 Main St, Shelbyville, KY 40065-1315 | 2014-03-13 |
| 1962715458 | Michael Edward Whitten | Psychologist | 1028 Main St, Shelbyville, KY 40065-1315 | 2010-07-26 |
| 1316060700 | Tim K Mcconkey | Psychologist | 207 N Spring St, Shelbyville, TN 37160-3966 | 2007-04-09 |
| Find all providers in SHELBYVILLE | ||||
| City | SHELBYVILLE |
| Zip Code | 46176 |
Please comment or provide details below to improve the information on PATRICK A WAGNER PHD PC.
| 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.