THE WAGNER CENTER FOR PSYCHOTHERAPY (NPI# 1801164124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801164124 |
| Entity Type | Organization |
| Organization Name | THE WAGNER CENTER FOR PSYCHOTHERAPY |
| Practice Address |
1172 E Ridgewood Ave Suite #2 Ridgewood NJ 07450-3936 |
| Practice Telephone | 2014453299 |
| Practice Fax Number | 2014455940 |
| Mailing Telephone | 2014453299 |
| Mailing Fax Number | 2014455940 |
| Enumeration Date | 2011-12-01 |
| Last Update Date | 2011-12-01 |
| Authorized Official Name | DR. DEBORAH RIFKA WAGNER (PRESIDENT) |
| Authorized Official Telephone | 2014453299 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 35S100358200 | NJ | Behavioral Health & Social Service Providers |
| Street Address |
1172 E RIDGEWOOD AVE SUITE #2 |
| City | RIDGEWOOD |
| State | NJ |
| Zip Code | 07450-3936 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669492229 | Howard Eliot Gilman | Psychiatry & Neurology | 1172 E Ridgewood Ave, Suite #7, Ridgewood, NJ 07450-3936 | 2006-07-19 |
| 1871967828 | Paul D. Kreisinger, Lcsw, LLC | Clinic/Center | 1172 E Ridgewood Ave, Second Floor - Suite 8, Ridgewood, NJ 07450-3936 | 2015-11-13 |
| 1497081657 | Norine E. Lecyn-mohle | Psychologist | 1172 E Ridgewood Ave, Suite 3, Ridgewood, NJ 07450-3936 | 2009-10-22 |
| 1811103286 | Robert Allan Ericksen | Psychologist | 1172 E Ridgewood Ave, Guardian Eldercare Suite 8, Ridgewood, NJ 07450-3929 | 2007-05-15 |
| 1588789879 | Catherine M Maresca Berezansky | Social Worker | 1172 E Ridgewood Ave, Ridgewood, NJ 07450-3936 | 2007-03-19 |
| 1861543266 | Patricia Healy De Sear | Psychologist | 1172 E Ridgewood Ave, Suite # 10, Ridgewood, NJ 07450-3936 | 2007-01-15 |
| 1053482281 | Diane Harth | Social Worker | 1172 E Ridgewood Ave, Suite 4, Ridgewood, NJ 07450-3936 | 2006-11-10 |
| 1093886210 | Marshall Stephen Harth | Psychologist | 1172 E Ridgewood Ave, Suite 4, Ridgewood, NJ 07450-3936 | 2006-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023675857 | Children's Aid and Family Services, Inc. | Behavioral Analyst | 213 Larue Road, W. Milford, NJ 07450 | 2019-05-28 |
| 1962065979 | Corey Chan | Student in an Organized Health Care Education/Training Program | 550 Lynn St, Ridgewood, NJ 07450 | 2019-04-16 |
| 1679058200 | Raymond Hawash | Pharmacist | 223 North Van Dien Ave, Ridgewood, NJ 07450 | 2018-09-28 |
| 1548771967 | Leonard Swerdlof | Dentist | 160 S Broad St, Ridgewood, NJ 07450 | 2017-10-12 |
| 1336671114 | Camp Sunshine and Camp Snowflake, Inc. | Respite Care | 1133 East Ridgewood Avenue, Ridgewood, NJ 07450 | 2017-03-30 |
| 1952764862 | Elysium Aesthetics and Vein Care, Inc | Radiology | 400 State Route 17, Ridgewood, NJ 07450 | 2016-03-30 |
| 1780077362 | Paul Walter Dasher | Psychologist | 76 West Ridgewood Avenue, Ridgewood, NJ 07450 | 2015-03-06 |
| 1255750071 | Myron Frank Lesh | Pharmacist | 305 E. Ridgewood Ave., Ridgewood, NJ 07450 | 2014-04-09 |
| 1649612912 | Jane Worthman-leva | Nutritionist | 357 South Irving St, Ridgewood, NJ 07450 | 2013-07-26 |
| 1427398858 | Life Opportunities Unlimited A Non Profit Corp. | Day Training, Developmentally Disabled Services | 75 North Maple Ave, Suite 104, Ridgewood, NJ 07450 | 2013-02-21 |
| Find all providers in zip 07450 | ||||
| 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 |
|---|---|---|---|---|
| 1275000366 | Maria A Staropoli-hafner | Psychologist | 589 Franklin Tpke Ste 8, Ridgewood, NJ 07450-1928 | 2018-10-27 |
| 1780077362 | Paul Walter Dasher | Psychologist | 76 West Ridgewood Avenue, Ridgewood, NJ 07450 | 2015-03-06 |
| 1124435425 | James F Battaglia Psychology PC | Psychologist | 201 E Ridgewood Ave, Suite 3, Ridgewood, NJ 07450-3864 | 2014-07-18 |
| 1962744896 | Stacy Rosen | Psychologist | 1 Prospect St Ste 5, Ridgewood, NJ 07450-4440 | 2013-03-18 |
| 1801093745 | Deborah Wagner Phd LLC | Psychologist | 1172 East Ridgewood Avenue, Suite #2, Ridgewood, NJ 07450-3928 | 2007-07-02 |
| 1518168095 | Lawrence P. Mcgowan | Psychologist | 6433 Palmetto St, Ridgewood, NY 11385-3326 | 2007-05-30 |
| 1588782510 | George Patrick Tierney | Psychologist | 10 Wilsey Square, Suite 232, Ridgewood, NJ 07450-3729 | 2007-03-27 |
| 1285759332 | Larissa Elizabeth Labay | Psychologist | 615 Franklin Tpke, Suite 1, Ridgewood, NJ 07450-1903 | 2007-03-20 |
| 1831237510 | Mark David Hatton | Psychologist | 55a E Ridgewood Ave, Suite 2, Ridgewood, NJ 07450-3867 | 2007-02-02 |
| 1235280132 | Moti Peleg | Psychologist | 115 Pine St, Ridgewood, NJ 07450-1619 | 2007-01-16 |
| Find all providers in RIDGEWOOD | ||||
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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.