AMANDA E WAGNER


Address: 2000 Alameda De Las Pulgas Ste 242, San Mateo, CA 94403-1271
Phone: 6509316512

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103G00000X Clinical Neuropsychologist 31385 CA Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
11035 Ne Sandy Blvd, Portland, OR 972202553 5032584200

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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

Office Location

Street Address 2000 ALAMEDA DE LAS PULGAS STE 242
City SAN MATEO
State CA
Zip Code 94403-1271

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 103G00000X
Grouping Behavioral Health & Social Service Providers
Classification Clinical Neuropsychologist

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City SAN MATEO
Zip Code 94403

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Dataset Information

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.

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