MICHAEL C WAGNER (NPI# 1598045841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598045841 |
| Entity Type | Individual |
| Full Name | MICHAEL C WAGNER |
| Credential | PSY.D |
| Practice Address |
10 N Jefferson St Suite 403 Frederick MD 21701-3500 |
| Practice Telephone | 3016208700 |
| Practice Fax Number | 3016208710 |
| Mailing Telephone | 3016208700 |
| Mailing Fax Number | 3016208710 |
| Enumeration Date | 2011-08-18 |
| Last Update Date | 2014-03-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 05275 | MD | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
0810004819 | VA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700446267 | Michael Wagner | Dentist | 754 S Main St Ste 1, St George, UT 84770-5510 | 2019-06-17 |
| 1336655034 | Michael D Wagner | Custodial Care Facility | 807 Pine Ave Nw, Grand Rapids, MI 49504-4340 | 2017-12-18 |
| 1285169037 | Michael Wagner | Student in an Organized Health Care Education/Training Program | 4316 E Avalon Dr, #11, Phoenix, AZ 85018-7245 | 2017-04-28 |
| 1235585191 | Michael Charles Wagner | Occupational Therapist | 170 2nd St S, Nampa, ID 83651-3708 | 2016-05-10 |
| 1033555362 | Michael S Wagner | Marriage & Family Therapist | 3263 Sacramento St, Suite B, San Francisco, CA 94115-2054 | 2013-05-14 |
| 1013154293 | Michael James Wagner | Counselor | 10207 E Shady Rock Ln, Tucson, AZ 85749-8162 | 2009-01-09 |
| 1619159084 | Michael Paul Wagner | Chiropractor | 544e. North Ave, Glendale Heights, IL 60139 | 2007-11-28 |
| 1609903178 | Michael John Wagner | Dentist | 13515 Ne 175th St Ste G, Woodinville, WA 98072-8566 | 2007-02-28 |
| 1073655825 | Michael C Wagner II | Nurse Practitioner | 603 N Logan Ave, Danville, IL 61832-4320 | 2007-02-12 |
| 1760577340 | Michael Dale Wagner | Psychologist | 5415 Medallion Dr W, Westerville, OH 43082-9194 | 2006-10-03 |
| Street Address |
10 N JEFFERSON ST SUITE 403 |
| City | FREDERICK |
| State | MD |
| Zip Code | 21701-3500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316947252 | Laura Michie | Speech-Language Pathologist | 10 N Jefferson St, Ste 304, Frederick, MD 21701-4866 | 2005-07-21 |
| 1578924841 | Iwona Gerner | Counselor | 10 N Jefferson St, Frederick, MD 21701-3500 | 2016-03-15 |
| 1891167391 | Susan Quinn Mason | Counselor | 10 N Jefferson St, Suite 203, Frederick, MD 21701-3500 | 2015-10-22 |
| 1952700536 | Stacy Hunter Lynskey | Counselor | 10 N Jefferson St, Suite 203, Frederick, MD 21701-3500 | 2014-08-19 |
| 1740623370 | Elizabeth M Robinson | Acupuncturist | 10 N Jefferson St, Ste. 203, Frederick, MD 21701-3500 | 2013-04-13 |
| 1306186820 | Tamara Lynn Koepp | Social Worker | 10 N Jefferson St, Frederick, MD 21701-3500 | 2013-02-20 |
| 1669753430 | Vanessa Durrant | Social Worker | 10 N Jefferson St, Suite 203, Frederick, MD 21701-3500 | 2011-09-07 |
| 1669780458 | Mary-eileen Hahn | Counselor | 10 N Jefferson St, Suite 403, Frederick, MD 21701-3500 | 2010-09-15 |
| 1477703106 | New Hope Foundation for The Underserved, Inc. | Counselor | 10 N Jefferson St, Suite 403, Frederick, MD 21701-3500 | 2008-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225670045 | Alana Earp | Social Worker | 810 Toll House Avenue, Frederick, MD 21701 | 2019-10-14 |
| 1851866065 | Main Place Treatment Centers LLC. | Clinic/Center | 127 S. Smallwood Street, Frederick, MD 21701 | 2018-10-04 |
| 1649775933 | Old Fashion Medicine, Inc | Internal Medicine | 95 Gatepost Lane, Apartment 1b, Frederick, MD 21701 | 2018-03-28 |
| 1063917938 | Kristin Deely | Nurse Practitioner | 400 West 7th Street, Cardiac Cath Lab 2nd Floor, Frederick, MD 21701 | 2018-03-24 |
| 1689180119 | Harwood Behavioral Health Partners, LLC | Community/Behavioral Health | 300 B Scholls Lane, Frederick, MD 21701 | 2017-12-20 |
| 1326590068 | Natalie Reid | Nurse Practitioner | 9093 Ridgefield Dr Ste 104, Frederick, MD 21701 | 2016-10-28 |
| 1649727967 | Scl Corpration | In Home Supportive Care | 550 Highland Street, Suite 110, Frederick, MD 21701 | 2016-09-02 |
| 1891159661 | Wellave, LLC | Clinic/Center | 411 Aviation Way Ste 245, Frederick, MD 21701 | 2016-04-07 |
| 1144694969 | Leslee Bry | Counselor | 120 W Church St Ste 3b, Frederick, MD 21701 | 2015-11-17 |
| 1851797732 | Frederick Dental | Dentist | 401 W 7th Street, Frederick Dental, Frederick, MD 21701 | 2014-11-05 |
| Find all providers in zip 21701 | ||||
| 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 |
|---|---|---|---|---|
| 1902421415 | Brian Daniel Gustman | Psychologist | 6333 Copper Dr, Frederick, CO 80516-9351 | 2020-06-10 |
| 1144647561 | Behavioral Counseling Services of Washington County, Inc. | Psychologist | 427 E. Patrick Street, Frederick, MD 21701 | 2014-03-24 |
| 1134426083 | Grace Marie Riley | Psychologist | 120 W Church St Ste 1a, Frederick, MD 21701-7800 | 2011-02-11 |
| 1790092724 | Aaron Todd Heaton | Psychologist | 365 W Patrick St Fl 205, Frederick, MD 21701-4870 | 2010-09-13 |
| 1124276852 | C. Parker | Psychologist | 5257 Buckeystown Pike, Box 478, Frederick, MD 21704-7535 | 2008-09-06 |
| 1932368628 | Evergreen Psychology, LLC | Psychologist | 235 W Patrick St, Frederick, MD 21701-6934 | 2008-06-06 |
| 1285756767 | James E. Roembke Jr. | Psychologist | 116 Record St, Frederick, MD 21701-5418 | 2007-04-04 |
| 1588798607 | Jee-young Ahn | Psychologist | 10 N Jefferson St Ste 403, Frederick, MD 21701-4823 | 2007-03-14 |
| 1831224906 | Robert Frank Mannis | Psychologist | 235 Wes Patrick St, Robert F. Mannis Phd, Frederick, MD 21701 | 2007-02-22 |
| 1013075266 | Mark Douglas Springston | Psychologist | 3390 Urbana Pike, Frederick, MD 21704-7769 | 2006-12-04 |
| Find all providers in FREDERICK | ||||
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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.