ANDREA WAHLBERG (NPI# 1639522253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639522253 |
| Entity Type | Individual |
| Full Name | ANDREA WAHLBERG |
| Credential | PH.D. |
| Practice Address |
7601 Preston Rd Suite P4300 Plano TX 75024-3214 |
| Practice Telephone | 4693034090 |
| Mailing Telephone | 4693034090 |
| Enumeration Date | 2016-07-19 |
| Last Update Date | 2016-07-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 37231 | TX | Behavioral Health & Social Service Providers |
| Street Address |
7601 PRESTON RD SUITE P4300 |
| City | PLANO |
| State | TX |
| Zip Code | 75024-3214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598789984 | University of Texas Southwestern Medical Center At Dallas | Ophthalmology | 7601 Preston Rd, Plano, TX 75024 | 2006-07-27 |
| 1023665684 | Lanchasica Alexander | Nurse Practitioner | 7601 Preston Rd, Plano, TX 75024-3214 | 2019-08-19 |
| 1043728389 | Jennifer Kieschnick | Physical Therapist | 7601 Preston Rd, Plano, TX 75024-3214 | 2018-01-22 |
| 1215448709 | Jasmine Ghannadpour | Psychologist | 7601 Preston Rd, Plano, TX 75024-3214 | 2017-10-24 |
| 1891236931 | Meredith Ulon | Social Worker | 7601 Preston Rd, Plano, TX 75024-3214 | 2017-03-08 |
| 1528514916 | Emily Holmes | Nurse Practitioner | 7601 Preston Rd, Plano, TX 75024-3214 | 2016-08-26 |
| 1821441304 | Christine Ellis | Nurse Practitioner | 7601 Preston Rd, Plano, TX 75024-3214 | 2016-07-19 |
| 1720440704 | Kayleigh Wiegers Mcbride | Pediatrics | 7601 Preston Rd, Plano, TX 75024-3214 | 2016-03-28 |
| 1982065546 | Matthias Marvin Manuel | Emergency Medicine | 7601 Preston Rd, Plano, TX 75024-3214 | 2016-03-10 |
| 1629448535 | Pediatric Emergency Medicine Group LLP | Emergency Medicine | 7601 Preston Rd, Plano, TX 75024-3214 | 2015-10-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689294605 | Seungeun Szczechowski | Specialist/Technologist, Other | 8308 Preston Rd Bldg 200, Suite 259, Plano, TX 75024 | 2020-04-20 |
| 1366080962 | Eating Recovery Center of Texas, LLC | Clinic/Center | 5120 Legacy Dr, Plano, TX 75024 | 2019-12-13 |
| 1336786615 | Regenerative Practitioners Group | Preventive Medicine | 8200 Preston Road Suite 100, Plano, TX 75024 | 2019-12-05 |
| 1033671771 | Cvs Pharmacy Inc. | Pharmacy | 6125 Legacy Drive, Plano, TX 75024 | 2019-04-02 |
| 1902364581 | Bayada Home Health Care, Inc. | Home Health | 5851 Legacy Circle, Fl 6, Suite 6052, Plano, TX 75024 | 2019-03-04 |
| 1881168052 | Waking Up To Peace Solutions LLC | Counselor | 8105 Rasor Blvd, Ste 303, Plano, TX 75024 | 2019-01-21 |
| 1407325905 | Fresenius Medical Care Willow Bend, LLC | Clinic/Center | 6823 Communications Pkwy Bldg A, Plano, TX 75024 | 2018-11-14 |
| 1265933378 | Cody Jones | Physical Therapist | 7211 Preston Road, Plano, TX 75024 | 2018-02-23 |
| 1720587538 | Sol Medical Massage Inc | Massage Therapist | 4666 Mcdermott Rd Suite 100, Plano, TX 75024 | 2018-02-07 |
| 1447768726 | Thelma Franco | Counselor | 5151 Headquarters Dr Ste 155, Plano, TX 75024 | 2018-01-20 |
| Find all providers in zip 75024 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629477724 | Katrina Belen | Clinical Neuropsychologist | 1404 Gables Ct Ste 102, Plano, TX 75075-7647 | 2014-08-14 |
| 1134455249 | Terrie Lynn Naramor | Clinical Neuropsychologist | 5512 W Plano Pkwy Ste 100, Plano, TX 75093-4840 | 2009-10-23 |
| 1932162898 | Gary B. Rochelle | Clinical Neuropsychologist | 2301 Ohio Dr, Ste. 130, Plano, TX 75093-3927 | 2006-04-10 |
| 1760029961 | Fuller Neuropsychology | Clinical Neuropsychologist | 2301 Ohio Dr Ste 130, Plano, TX 75093-3997 | 2019-12-06 |
| 1992368591 | Lily M Ha | Clinical Neuropsychologist | 5400 W Plano Pkwy, Plano, TX 75093-4852 | 2019-04-18 |
| 1316486749 | Neurohispanos Pllc | Clinical Neuropsychologist | 1404 Gables Ct Ste 102, Plano, TX 75075 | 2017-02-17 |
| 1104277730 | Texas Institute for Neurosciences | Clinical Neuropsychologist | 5425 W Spring Creek Pkwy, Suite 270, Plano, TX 75024-4236 | 2016-06-24 |
| 1215397294 | Kfc Medical Pllc | Clinical Neuropsychologist | 5045 Lorimar Dr, Suite 290, Plano, TX 75093-5720 | 2016-03-03 |
| 1902270630 | Jay Daniel Duhon, Ph.d., Pllc | Clinical Neuropsychologist | 2301 Ohio Dr, Ste. 130, Plano, TX 75093-3927 | 2015-11-18 |
| 1487082137 | Scott Burkhart | Clinical Neuropsychologist | 7211 Preston Rd Ste 1200, Plano, TX 75024 | 2013-10-16 |
| Find all providers in PLANO | ||||
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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.