MR. STEPHEN CHARLES WAGNER (NPI# 1790710077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790710077 |
| Entity Type | Individual |
| Full Name | MR. STEPHEN CHARLES WAGNER |
| Credential | PHD |
| Practice Address |
321 E Main St Suite 205 Bozeman MT 59715 |
| Practice Telephone | 4065952263 |
| Mailing Telephone | 4065952263 |
| Mailing Fax Number | 4065227076 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
93 | MT | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942533633 | Stephen C Wagner | Chiropractor | 5802 Se Powell Blvd, Portland, OR 97206-2826 | 2009-09-11 |
| 1154583805 | Stephen Faust Wagner | Medical Genetics | 714 S Birch Ave, Marshfield, WI 54449-3326 | 2008-06-25 |
| 1669432415 | Stephen W Wagner Jr. | Nurse Anesthetist, Certified Registered | 701 N Ist St, Springfield, IL 62781-0001 | 2006-03-24 |
| 1114396694 | Stephen Lee Wagner | Psychologist | 38720 Saltwell Rd, Lisbon, OH 44432-8303 | 2015-09-15 |
| 1578981585 | Stephen Wagner | Obstetrics & Gynecology | 101 Dudley St, Providence, RI 02905-2401 | 2014-04-07 |
| 1508112061 | Stephen David Wagner | Internal Medicine | 3214 E Race Ave, Searcy, AR 72143-4810 | 2012-08-01 |
| 1003044173 | Stephen Thomas Wagner | Dentist | 12137 Elm St, Princess Anne, MD 21853-1358 | 2009-06-29 |
| 1063524387 | Stephen R Wagner | Anesthesiology | 333 Smith Ave N, Saint Paul, MN 55102-2344 | 2006-08-31 |
| 1255443412 | Stephen P Wagner | Ophthalmology | 515 22nd Ave, Monroe, WI 53566-1569 | 2006-08-31 |
| 1871553644 | Stephen Anthony Wagner | Psychologist | 9601 Steilacoom Blvd Sw, Tacoma, WA 98498-7213 | 2006-03-25 |
| Street Address |
321 E MAIN ST SUITE 205 |
| City | BOZEMAN |
| State | MT |
| Zip Code | 59715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669002614 | Bozeman Therapy & Counseling | Clinic/Center | 321 E Main St, St 418, Bozeman, MT 59715 | 2020-01-17 |
| 1316415763 | Jonathan Bateman | Counselor | 321 E Main St, Bozeman, MT 59715-6241 | 2018-11-04 |
| 1679048045 | Center Counseling, PC | Counselor | 321 E Main St, Suite 407, Bozeman, MT 59715 | 2018-10-11 |
| 1043669997 | Kathryn Tuchscherer Franklin | Counselor | 321 E Main St, Suite 417a, Bozeman, MT 59715-6241 | 2016-06-10 |
| 1376952374 | Elizabeth Allen | Massage Therapist | 321 E Main St, #204, Bozeman, MT 59715-6241 | 2014-08-05 |
| 1275941940 | Jennifer R Millner | Counselor | 321 E Main St, Suite 417a, Bozeman, MT 59715-6241 | 2014-07-25 |
| 1174811061 | Gwendolyn Ailive Jones | Counselor | 321 E Main St, Suite 201, Bozeman, MT 59715-6241 | 2011-07-13 |
| 1497078083 | Amy Aldrich | Counselor | 321 E Main St, Suite 409, Bozeman, MT 59715-6241 | 2010-03-10 |
| 1568648558 | Melissa Costigan Davis | Counselor | 321 E Main St, #321, Bozeman, MT 59715-6241 | 2008-01-21 |
| 1407039878 | Rachelle Heilweil | Counselor | 321 E Main St, Suite 300, Bozeman, MT 59715-6241 | 2007-12-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477152288 | Ch Mh Services (il), LLC | Clinic/Center | 233 E Main St Suite 401, Bozeman, MT 59715 | 2020-10-22 |
| 1134735269 | Montana Therapy and Consulting Pllc | Social Worker | 110 S Grand Ave, Floor 2, Bozeman, MT 59715 | 2020-09-23 |
| 1831715994 | Alyson Raph | Student in an Organized Health Care Education/Training Program | 1 Anna Pearl Sherrick Hal, Bozeman, MT 59715 | 2020-06-24 |
| 1639702780 | Miranda Shields | Massage Therapist | 1001 W. Oak St. Bldg C Ste 210, Bozeman, MT 59715 | 2020-02-18 |
| 1154988590 | Christina Yancy | Massage Therapist | Bldg C, Ste 210, 1001 W Oak St, Bozeman, MT 59715 | 2019-05-21 |
| 1962068767 | Julie A Hisey | Physical Therapist | 1700 W. Koch, Suite 12, Bozeman, MT 59715 | 2019-05-16 |
| 1639631633 | Joshua Wallace | Massage Therapist | 1001 W Oak St, Bldg. C Ste. 210, Bozeman, MT 59715 | 2019-04-01 |
| 1528523388 | Judith Margaret Firehammer | Psychologist | 37 East Main St, Suite 7, Bozeman, MT 59715 | 2019-02-06 |
| 1194280875 | Erica Kotick | Counselor | 2246 Boot Hill Court, Suite 4, Bozeman, MT 59715 | 2019-02-06 |
| 1194291609 | Providence Mental Health Pllc | Social Worker | 2246 Boot Hill Ct. Unit #4, Bozeman, MT 59715 | 2018-10-23 |
| Find all providers in zip 59715 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528523388 | Judith Margaret Firehammer | Psychologist | 37 East Main St, Suite 7, Bozeman, MT 59715 | 2019-02-06 |
| 1700390085 | Hillary Kaitlin Morin | Psychologist | 5 W Mendenhall St Ste 202, Bozeman, MT 59715-3559 | 2017-11-26 |
| 1407214968 | Kathryn Darnell | Psychologist | 502 S 19th Ave Ste 300, Bozeman, MT 59718-6810 | 2016-01-29 |
| 1891116117 | Leightnup Psychology Services PC | Psychologist | 935 Highland Blvd Suite 2200, Bozeman, MT 59715-6902 | 2014-01-05 |
| 1265875124 | Samantha Nicole White | Psychologist | 211 Swingle Building, Montana State University, Bozeman, MT 59717-3180 | 2013-04-10 |
| 1770884512 | Eduardo F Duran | Psychologist | 37 E Main St Ste 7, Bozeman, MT 59715-4739 | 2010-11-10 |
| 1396912655 | Candice Marie Tate | Psychologist | 510 S 23rd Ave, Bozeman, MT 59718-3963 | 2008-05-14 |
| 1194902726 | Adrian B Utsch | Psychologist | 300 N Willson Ave Ste 3005-6, Bozeman, MT 59715-3537 | 2008-01-25 |
| 1053503169 | Catherine Anne Maclean | Psychologist | 3825 Valley Commons Dr, Ste 4, Bozeman, MT 59718-6435 | 2007-08-13 |
| 1407997471 | Jacqueline H Stanley | Psychologist | 1043 Stoneridge Dr Ste 2, Bozeman, MT 59718-7084 | 2007-02-10 |
| Find all providers in BOZEMAN | ||||
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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.