AMANDA E WAGNER (NPI# 1659748911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659748911 |
Entity Type | Individual |
Full Name | AMANDA E WAGNER |
Credential | PHD |
Practice Address |
2000 Alameda De Las Pulgas Ste 242 San Mateo CA 94403-1271 |
Practice Telephone | 6509316512 |
Mailing Telephone | 6509316512 |
Enumeration Date | 2015-08-21 |
Last Update Date | 2020-09-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103G00000X | Clinical Neuropsychologist | 31385 | CA | Behavioral Health & Social Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
11035 Ne Sandy Blvd, Portland, OR 972202553 | 5032584200 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932707072 | Amanda Lynn Wagner | In Home Supportive Care | 158 Fairhome Ave, Clyde, OH 43410-2006 | 2020-10-12 |
1205478294 | Amanda Wagner | Marriage & Family Therapist | 7021 W 153rd St Ste 5, Orland Park, IL 60462-5397 | 2019-10-11 |
1144683574 | Amanda Wagner | Counselor | 900 Darlington Ave, Mahwah, NJ 07430-2526 | 2016-04-02 |
1295090504 | Amanda Wagner | Speech-Language Pathologist | 120 Se 5th Ave, Apt 223, Boca Raton, FL 33432-5072 | 2012-07-12 |
1154399152 | Amanda Griffin Wagner | Psychologist | 11 Charlie Morris Rd Bldg 2, Colbert, GA 30628-2445 | 2006-03-08 |
1396365797 | Amanda Wagner | Pharmacist | 1 Wyoming St, Dayton, OH 45409-2722 | 2020-04-26 |
1164058020 | Amanda C Wagner | Nurse Anesthetist, Certified Registered | 5645 Main St, Flushing, NY 11355-5045 | 2020-03-22 |
1780214320 | Amanda Wagner | Case Manager/Care Coordinator | 1744 Payne Ave, Cleveland, OH 44114-2910 | 2020-01-23 |
1366089914 | Amanda Wagner | Case Manager/Care Coordinator | 120 S Barstow St, Eau Claire, WI 54701-3642 | 2019-12-03 |
1972007441 | Amanda Marie Wagner | Student in an Organized Health Care Education/Training Program | 1664 N Virginia St, Reno, NV 89557-0001 | 2018-03-20 |
Street Address |
2000 ALAMEDA DE LAS PULGAS STE 242 |
City | SAN MATEO |
State | CA |
Zip Code | 94403-1271 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134766041 | Child Mind Medical Practice, PC | Clinic/Center | 2000 Alameda De Las Pulgas Ste 242, San Mateo, CA 94403-1271 | 2019-12-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710520903 | Happy Enerqi LLC | Acupuncturist | 5 43rd Ave, San Mateo, CA 94403 | 2019-10-21 |
1740840396 | Vincent Wing Ching Fong | Marriage & Family Therapist | 2600 S. El Camino Real Suite 200, San Mateo, CA 94403 | 2019-06-17 |
1861056426 | Denise Gaytan | Licensed Vocational Nurse | 2600 El Camino, San Mateo, CA 94403 | 2019-04-29 |
1134686991 | Connie Markoff | Counselor | 3827 Fernwood St, San Mateo, CA 94403 | 2019-02-27 |
1467965392 | Happyqi Inc | Acupuncturist | 5 43rd Ave., San Mateo, CA 94403 | 2017-11-14 |
1710403092 | John Luu | Chiropractor | 3153 Campus Dr, San Mateo, CA 94403 | 2017-08-17 |
1477009033 | Latifunisa Lilani | Community Health Worker | 2600 El Camino Real, San Mateo, CA 94403 | 2016-09-01 |
1881029874 | Juan Carlos Friesen | Licensed Vocational Nurse | 2600 S. El Camino, Suite #200, San Mateo, CA 94403 | 2013-09-09 |
1619300423 | Emily Rodda | Nurse Practitioner | 222 W. 39th Avenue, San Mateo Medical Center - Pediatric Clinic, San Mateo, CA 94403 | 2013-08-15 |
1619309549 | Maria Lucila Echeverria-bustios | Counselor | 1911 Ivy St., San Mateo, CA 94403 | 2013-08-02 |
Find all providers in zip 94403 |
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 |
---|---|---|---|---|
1023660552 | Joelle I. Broffman | Clinical Neuropsychologist | 1700 S Amphlett Blvd Ste 201, San Mateo, CA 94402-2717 | 2019-07-15 |
1023448099 | Neil A Hersh | Clinical Neuropsychologist | 111 Saint Matthews Ave, # 208, San Mateo, CA 94401-2851 | 2013-11-12 |
1265628820 | Anna Nedelisky Zeman | Clinical Neuropsychologist | 318 S B St, Ste 5, San Mateo, CA 94401-4029 | 2007-09-18 |
1154382380 | Jonathon M Rose | Clinical Neuropsychologist | 327 N San Mateo Dr, Suite 3, San Mateo, CA 94401-2543 | 2006-03-29 |
1538791744 | Priscilla Morrison | Clinical Neuropsychologist | 2000 Alameda De Las Pulgas, San Mateo, CA 94403-1269 | 2020-02-05 |
1497304224 | Stem Cognitive and Psychological Rehabilitation, Inc. | Clinical Neuropsychologist | 1700 S Amphlett Blvd Ste 201, San Mateo, CA 94402-2717 | 2019-09-04 |
1679922322 | Julia Nunan-saah | Clinical Neuropsychologist | 2000 Alameda De Las Pulgas, Suite 242, San Mateo, CA 94403 | 2016-06-03 |
1053771196 | Clinical Psychology Solutions Pllc | Clinical Neuropsychologist | 318 S B St, Suite 5, San Mateo, CA 94401-4092 | 2016-03-02 |
1912038993 | Marcia J. Schwartz | Clinical Neuropsychologist | 215 N San Mateo Dr, #9, San Mateo, CA 94401-2622 | 2007-03-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407455108 | Chelsea Vilinskas | Clinical Neuropsychologist | 2624 Larkey Ln, Walnut Creek, CA 94597-2439 | 2020-10-22 |
1417554049 | Andrea Alioto | Clinical Neuropsychologist | 247 San Carlos Ave, Redwood City, CA 94061-3518 | 2020-10-06 |
1265045975 | Well Psychology, Inc. | Clinical Neuropsychologist | 3525 Del Mar Heights Rd # 1881, San Diego, CA 92130-2199 | 2020-08-24 |
1922618917 | Alyssa Weakley | Clinical Neuropsychologist | Uc Davis Midtown Neurology Clinic, 3160 Folsom Blvd, Sacramento, CA 95816 | 2020-08-04 |
1437767399 | Ni Sun-suslow | Clinical Neuropsychologist | 220 Dickinson St # B, San Diego, CA 92103-2071 | 2020-07-16 |
1366061707 | Talia Rose Seider | Clinical Neuropsychologist | 760 Westwood Plz Ste 37-360b, Los Angeles, CA 90024-5055 | 2020-04-15 |
1699394270 | Colin Jarred Gallagher | Clinical Neuropsychologist | 760 Westwood Plz # C8-854, Los Angeles, CA 90095-8353 | 2020-04-13 |
1649807058 | Nicholas S. Thaler Phd A Psychological Corporation | Clinical Neuropsychologist | 1526 14th St Ste 109, Santa Monica, CA 90404-3320 | 2020-03-25 |
1447890116 | Hussah Alkharafi | Clinical Neuropsychologist | 2720 Neilson Way # 5701, Santa Monica, CA 90405-4060 | 2020-01-10 |
1609414788 | Linda Rice | Clinical Neuropsychologist | 617 Bluegrass St, Simi Valley, CA 93065-5460 | 2019-12-19 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on AMANDA E WAGNER.
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.