DR. PATRICK A WAGNER (NPI# 1902804446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902804446 |
| Entity Type | Individual |
| Full Name | DR. PATRICK A WAGNER |
| Credential | PHD |
| Practice Address |
17330 W Center Rd Suite 110-282 Omaha NE 68130-2392 |
| Mailing Address |
1253 N Deer Run E Shelbyville IN 46176 |
| Practice Telephone | 3174469288 |
| Mailing Telephone | 3173988146 |
| Enumeration Date | 2005-07-08 |
| Last Update Date | 2009-10-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 20010493A | IN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100073410 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316562150 | Patrick Wagner | Physical Therapist | 8751 W Charleston Blvd Ste 270, Las Vegas, NV 89117-5497 | 2020-06-08 |
| 1053680082 | Patrick Joseph Wagner | Social Worker | 1015 Dorsey Ln, Louisville, KY 40223-2612 | 2011-12-20 |
| 1811154610 | Patrick L Wagner | Surgery | 314 E North Ave, Pittsburgh, PA 15212-4737 | 2008-05-20 |
| 1437320033 | Patrick Nathan Wagner | Anesthesiology | 835 S Van Buren St, Dept of Anesthesiology, Green Bay, WI 54301-3526 | 2008-03-21 |
| Street Address |
17330 W CENTER RD SUITE 110-282 |
| City | OMAHA |
| State | NE |
| Zip Code | 68130-2392 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861998270 | Samantha June Curto | Nurse Practitioner | 17021 Lakeside Drive, Suite 200, Omaha, NE 68130 | 2018-04-04 |
| 1780196451 | Heritage Oncare Home Health LLC | Home Health | 16934 Frances St Ste 200, Omaha, NE 68130 | 2017-11-02 |
| 1497281745 | Dental Professionals of Nebraska, PC | Dentist | 17810 Pierce Plaza, Suite 100, Omaha, NE 68130 | 2017-05-05 |
| 1891166492 | Stephanie Tupper | Speech-Language Pathologist | 16338 Oak Circle, Omaha, NE 68130 | 2015-10-08 |
| 1194036723 | Anthony John Macdissi | Internal Medicine | 16901 Lakeside Hills Court, Attn: Hospital Medicine Dept., Omaha, NE 68130 | 2010-06-29 |
| 1568613305 | Kelly Marie Barkmeier | Occupational Therapist | 1906 South 196th Street, Omaha, NE 68130 | 2008-10-09 |
| 1306009758 | Melissa Sue Loseke | Family Medicine | 17021 Lakeside Hills Plz #200, Omaha, NE 68130 | 2008-07-07 |
| 1477724417 | Denise L. Pollard | Nurse Practitioner | 17525 Gold Plaza Ste 116, Omaha, NE 68130 | 2008-03-18 |
| 1508053943 | Omaha Family Medicine, P.C. | Family Medicine | 17841 Pierce Plz, Omaha, NE 68130 | 2007-10-01 |
| 1669672523 | Jennifer L Liu | Family Medicine | 16909 Lakeside Hills, Ste 300, Omaha, NE 68130 | 2007-07-19 |
| Find all providers in zip 68130 | ||||
| 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 |
|---|---|---|---|---|
| 1467001925 | Katrina M Cordts | Psychologist | 110 N. 175th St. Ste 2000, Omaha, NE 68118-3515 | 2019-09-08 |
| 1780245126 | Lindy M Fields | Psychologist | 4242 Farnam St Ste 247, Omaha, NE 68131-0003 | 2019-06-26 |
| 1275095416 | Arthur Robert Andrews IIi | Psychologist | 2412 Cuming St Ste 103, Omaha, NE 68131-1602 | 2019-04-05 |
| 1508354242 | Joshua Michael Brown | Psychologist | 6818 Grover St Ste 301a, Omaha, NE 68106 | 2018-04-27 |
| 1477922318 | Omaha Insomnia and Psychiatric Services, LLC | Psychologist | 13917 Gold Cir, Omaha, NE 68144-2359 | 2015-09-22 |
| 1821437443 | Stacey Lynn Delanoit | Psychologist | 11414 W Center Rd Ste 300, Omaha, NE 68144-4420 | 2013-06-17 |
| 1649523085 | Jennifer Anne Yalof | Psychologist | 42 Nd Dewey, Omaha, NE 68198-1023 | 2012-10-23 |
| 1609126960 | Heather L Jacobson | Psychologist | 4801 Underwood Ave Apt 1, Omaha, NE 68132-2439 | 2012-09-13 |
| 1245586023 | Michelle Rose Woidneck Kieffe | Psychologist | 11905 Arbor St., Omaha, NE 68144-2970 | 2012-07-30 |
| 1639486343 | Charles Drew Health Center, Inc | Psychologist | 3720 Florence Blvd, Omaha, NE 68110-1737 | 2010-09-02 |
| Find all providers in OMAHA | ||||
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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.