ANGELA L WAGENAAR (NPI# 1679642029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679642029 |
| Entity Type | Individual |
| Full Name | ANGELA L WAGENAAR |
| Other Name | ANGELA L EHRLICK |
| Credential | PHD |
| Practice Address |
1020 N 27th St Billings MT 59101-0760 |
| Mailing Address |
Po Box 35100 Billings MT 59107-5100 |
| Practice Telephone | 4062382500 |
| Mailing Telephone | 4062382500 |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2019-09-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 509 | WY | Behavioral Health & Social Service Providers |
| Street Address |
1020 N 27TH ST |
| City | BILLINGS |
| State | MT |
| Zip Code | 59101-0760 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275532897 | Harry Arvin Kopelman | Internal Medicine | 1020 N 27th St, Billings, MT 59101-0760 | 2005-07-15 |
| 1952917619 | Susan Finn | Nurse Practitioner | 1020 N 27th St, Billings, MT 59101-0760 | 2020-09-18 |
| 1083240998 | Chance Stewart | Student in an Organized Health Care Education/Training Program | 1020 N 27th St, Billings, MT 59101-0760 | 2020-03-23 |
| 1467925271 | Hannah Wolf | Dietitian, Registered | 1020 N 27th St, Billings, MT 59101-0760 | 2019-01-03 |
| 1689165789 | Diane Thomas Hurd | Nurse Practitioner | 1020 N 27th St, Billings, MT 59101 | 2018-05-23 |
| 1023518495 | Anne Evelyn Mcrae | Nurse Practitioner | 1020 N 27th St, 410, Billings, MT 59102 | 2018-02-12 |
| 1912386947 | University of Utah Adult Services | Internal Medicine | 1020 N 27th St, Billings, MT 59101-0760 | 2015-05-22 |
| 1922485572 | University of Utah Adult Services | Internal Medicine | 1020 N 27th St, Billings, MT 59101-0760 | 2015-05-04 |
| 1679997597 | Angela Buckley | Counselor | 1020 N 27th St, Ste 200, Billings, MT 59101-0760 | 2014-02-12 |
| 1740629195 | Annette M. Darkenwald | Social Worker | 1020 N 27th St, Billings, MT 59101 | 2013-06-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356950927 | Rayola Carol Grant | Student in an Organized Health Care Education/Training Program | Montana State University College of Nursing, Billing Ce, Ap 306 1500 University Drive, Billings, MT 59101 | 2020-07-29 |
| 1225652001 | Johnny L Talawyma Jr. | Peer Specialist | 1230 N. 30th St. Suite 100, Billings, MT 59101 | 2020-06-08 |
| 1306487962 | Jeannine L. Walter | Technician | 26 Peters St, Billings, MT 59101 | 2019-10-04 |
| 1912470089 | Deidre Jenae Johnson | Student in an Organized Health Care Education/Training Program | 1500 University Drive, Rimrock 503, Billings, MT 59101 | 2019-01-10 |
| 1649743964 | Annika Stampfel | Behavior Technician | 780 Broadwater Avenue, Billings, MT 59101 | 2019-01-09 |
| 1215436092 | Yellowstone City-county Health Department | Clinic/Center | 515 N 27th St, Billings, MT 59101 | 2018-02-07 |
| 1902305790 | Yellowstone City-county Health Department | Clinic/Center | 3005 1st Ave S, Billings, MT 59101 | 2018-02-07 |
| 1720587512 | Yellowstone City-county Health Department | Clinic/Center | 120 Jackson Street, Billings, MT 59101 | 2018-02-07 |
| 1508385477 | Jkw & Jira Inc. | Pharmacy | 1245 N 29th St Ste 100, Billings, MT 59101 | 2017-09-12 |
| 1487198610 | Rebecca Webber | Counselor | 251 Rolling Meadow Dr, Billings, MT 59101 | 2016-12-07 |
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| 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 |
|---|---|---|---|---|
| 1871711887 | Therese Dolores Ettel | Psychologist | 902 Wyoming Avenue, Billings, MT 59101 | 2007-04-23 |
| 1831293844 | Marian Fowers Martin | Psychologist | 1018 North 30th Street, Billings, MT 59101-0732 | 2006-09-11 |
| 1457454886 | Donna Mary Veraldi | Psychologist | 100 N 27th St, Ste 320, Billings, MT 59101-2054 | 2006-09-07 |
| 1598799645 | Bruce Chessen | Psychologist | 1250 15th St W Ste 203, Billings, MT 59102-4155 | 2006-07-11 |
| 1992162416 | Cara L Stahl | Psychologist | 1766 Majestic Ln, Billings, MT 59102-6759 | 2016-01-28 |
| 1780980011 | The Center for Children and Families | Psychologist | 1501 14th St W, Suite 230, Billings, MT 59102-3150 | 2011-02-03 |
| 1164591236 | William Bredehoft | Psychologist | 1020 N 27th St, Billings, MT 59101-0760 | 2006-11-06 |
| 1104925098 | Robert E. Tompkins | Psychologist | 1018 N 30th St, Billings, MT 59101-0732 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871110189 | Integrative Psychotherapy & Mind-body Medicine, LLC | Psychologist | 144 Wickwire Way, Bozeman, MT 59718-9670 | 2020-07-02 |
| 1194365296 | Treasure State Psychological Services, Inc | Psychologist | 4185 N Montana Ave Ste 5, Helena, MT 59602-7668 | 2020-01-07 |
| 1194379396 | Matthew Colon | Psychologist | 7 W Main St Ste 207, Bozeman, MT 59715-4695 | 2019-07-26 |
| 1790341998 | Laura Lopach, LLC | Psychologist | 118 W Sussex Ave, Missoula, MT 59801-6845 | 2019-05-13 |
| 1821652819 | Jordan Fiorillo Scotti | Psychologist | 144 2nd Street, Whitefish, MT 59937 | 2019-04-25 |
| 1598234239 | Edward Lesofski | Psychologist | 400 Expressway Ste D, Missoula, MT 59808-1536 | 2018-11-23 |
| 1063924330 | Peach Tree Academy | Psychologist | 1039 Stoneridge Dr, Bozeman, MT 59718-7056 | 2017-10-26 |
| 1245775691 | Tri-county Special Education Cooperative | Psychologist | 119 N Park Ave., Broadus, MT 59317-0718 | 2016-12-21 |
| 1992256960 | Katherine M Flynn Psyd Pllc | Psychologist | 111 N Last Chance Gulch Ste 2a, Helena, MT 59601-4144 | 2016-10-14 |
| 1912311549 | Terri Fernandez-tyson | Psychologist | 301 N Warren St, Helena, MT 59601-4030 | 2014-06-11 |
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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.