MICHAEL JAMES WAGNER (NPI# 1013154293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013154293 |
| Entity Type | Individual |
| Full Name | MICHAEL JAMES WAGNER |
| Credential | PH.D. |
| Practice Address |
10207 E Shady Rock Ln Tucson AZ 85749-8162 |
| Practice Telephone | 5206312067 |
| Mailing Telephone | 5206312067 |
| Enumeration Date | 2009-01-09 |
| Last Update Date | 2012-06-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
0119031 | NM | Behavioral Health & Social Service Providers |
| Y | 103T00000X | Psychologist | 4297 | AZ | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 78558 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700446267 | Michael Wagner | Dentist | 754 S Main St Ste 1, St George, UT 84770-5510 | 2019-06-17 |
| 1336655034 | Michael D Wagner | Custodial Care Facility | 807 Pine Ave Nw, Grand Rapids, MI 49504-4340 | 2017-12-18 |
| 1285169037 | Michael Wagner | Student in an Organized Health Care Education/Training Program | 4316 E Avalon Dr, #11, Phoenix, AZ 85018-7245 | 2017-04-28 |
| 1235585191 | Michael Charles Wagner | Occupational Therapist | 170 2nd St S, Nampa, ID 83651-3708 | 2016-05-10 |
| 1033555362 | Michael S Wagner | Marriage & Family Therapist | 3263 Sacramento St, Suite B, San Francisco, CA 94115-2054 | 2013-05-14 |
| 1619159084 | Michael Paul Wagner | Chiropractor | 544e. North Ave, Glendale Heights, IL 60139 | 2007-11-28 |
| 1609903178 | Michael John Wagner | Dentist | 13515 Ne 175th St Ste G, Woodinville, WA 98072-8566 | 2007-02-28 |
| 1073655825 | Michael C Wagner II | Nurse Practitioner | 603 N Logan Ave, Danville, IL 61832-4320 | 2007-02-12 |
| 1760577340 | Michael Dale Wagner | Psychologist | 5415 Medallion Dr W, Westerville, OH 43082-9194 | 2006-10-03 |
| 1083719942 | Michael E Wagner | Chiropractor | 8553 Hickman Rd, Urbandale, IA 50322-4321 | 2006-09-14 |
| Street Address |
10207 E SHADY ROCK LN |
| City | TUCSON |
| State | AZ |
| Zip Code | 85749-8162 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194197400 | Kristin Palmer | Specialist | 9006 E Eagle Place, Tucson, AZ 85749 | 2015-10-26 |
| 1417349028 | Intermountain Centers for Human Develoment Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 8851 East Tanque Verde, Tucson, AZ 85749 | 2015-02-19 |
| 1659776557 | Mahmoud Moghaddami | Nurse Practitioner | 1075 E Ft Lowell, Tucson, AZ 85749 | 2014-11-04 |
| 1255632295 | John Leroy Kallmeyer, M.d. | Obstetrics & Gynecology | 11122 E. Rusty Spur Pl., Tucson, AZ 85749 | 2010-11-08 |
| 1861708547 | Nancy H Mcgibbon | Physical Therapist | 8920 E. Woodland Rd, Tucson, AZ 85749 | 2010-08-19 |
| 1366773103 | Lee J Weisbard | Pharmacist | 9115 E Tanque Verde Road, Tucson, AZ 85749 | 2010-01-19 |
| 1568612869 | Southwest Surgical Services | Specialist/Technologist, Other | 12125 E. Quesada Place, Tucson, AZ 85749 | 2008-09-23 |
| 1841456589 | David Dietz | Counselor | 1795 W. Drexel, Tucson, AZ 85749 | 2008-08-01 |
| 1124203682 | Marilou Errazo-searles | Registered Nurse | 11109 E Tanque Verde Rd, Tucson, AZ 85749 | 2008-01-03 |
| 1427142074 | Rgl Development, LLC | Assisted Living Facility | 9050 E Tanque Verde Road, Tucson, AZ 85749 | 2006-10-03 |
| Find all providers in zip 85749 | ||||
| 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 |
|---|---|---|---|---|
| 1871116632 | Rhonda L. Smith | Psychologist | 4032 E Whitman St, Tucson, AZ 85711-2854 | 2020-05-27 |
| 1902426208 | Elisabetta Ambrosia | Psychologist | 4605 N Paseo Aquimuri, Tucson, AZ 85750-1613 | 2020-04-16 |
| 1760036826 | Rehabilitation Psychological Services | Psychologist | 2126 N Catalina Ave Unit 1, Tucson, AZ 85712-3364 | 2019-07-27 |
| 1831759240 | The University of Arizona | Psychologist | 1335 N Cherry Ave, Tucson, AZ 85721-0105 | 2019-06-18 |
| 1750849519 | Savannah Wright | Psychologist | 3001 S Pantano Edge Dr, Tucson, AZ 85730-2051 | 2019-03-11 |
| 1699259986 | Kimberly Thiessen | Psychologist | 1022 W Ina Rd Ste 9, Tucson, AZ 85704-3109 | 2018-09-21 |
| 1649764259 | Nicole Marie Farmer | Psychologist | 3601 S 6th Ave # 90, Tucson, AZ 85723-0001 | 2018-06-18 |
| 1356841894 | John Marcus Jensen | Psychologist | 8608 E Old Spanish Trl Apt 91, Tucson, AZ 85710-4326 | 2018-02-20 |
| 1639680812 | Daniel Mcdonnell | Psychologist | 8221 E Ocotillo Dr, Tucson, AZ 85750-9667 | 2017-10-16 |
| 1801282496 | Michael Patrick Christiansen | Psychologist | 205 E University Blvd, Tucson, AZ 85705-7740 | 2015-04-09 |
| Find all providers in TUCSON | ||||
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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.