TARA T WAGNER (NPI# 1144422098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144422098 |
| Entity Type | Individual |
| Full Name | TARA T WAGNER |
| Credential | M.D. |
| Practice Address |
3501 Mills Ave Austin TX 78731 |
| Mailing Address |
1601 Trinity St Stop Z0200 Austin TX 78712-1850 |
| Practice Telephone | 5123242080 |
| Mailing Telephone | 5124955512 |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2019-01-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
N2876 | TX | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3614 Bill Price Rd, Health Services Building, Del Valle, TX 786173630 | 5128544182 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518281609 | Tara Lee Wagner | Behavioral Analyst | 5099 Cameo Ter, Perry Hall, MD 21128-8934 | 2010-03-18 |
| 1396840559 | Tara Marie Wagner | Dentist | 4700 White Bear Parkway, White Bear Lake, MN 55110-3336 | 2006-09-13 |
| 1780139352 | Tara Ann Wagner | Behavioral Analyst | 8617 E Colonial Dr, Suite 1100, Orlando, FL 32817-3938 | 2016-08-24 |
| 1487037404 | Tara Wagner | Behavioral Analyst | 1380 River Bend Dr, Dallas, TX 75247-4914 | 2015-07-08 |
| 1598088973 | Tara Jo Wagner | Social Worker | 4972 Lincoln Ave Ste 204, Evansville, IN 47715-7909 | 2010-03-12 |
| Street Address |
3501 MILLS AVE |
| City | AUSTIN |
| State | TX |
| Zip Code | 78731 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780688531 | Gary J. Gronstedt | Psychiatry & Neurology | 3501 Mills Ave, Austin, TX 78731-6309 | 2005-06-09 |
| 1316555923 | Latham Fink, M.d., Ph.d., Pllc | Clinic/Center | 3501 Mills Ave, Austin, TX 78731 | 2020-07-20 |
| 1164048732 | Robert James Good | Student in an Organized Health Care Education/Training Program | 3501 Mills Ave, Austin, TX 78731-6309 | 2020-06-19 |
| 1841816592 | Nathaniel Nevitt | Student in an Organized Health Care Education/Training Program | 3501 Mills Ave, 6th Floor Residency, Austin, TX 78731 | 2020-06-18 |
| 1467075408 | Alexandra Moore | Student in an Organized Health Care Education/Training Program | 3501 Mills Ave, Austin, TX 78731-6391 | 2020-05-26 |
| 1912520073 | Sarah Fulton Bovio | Student in an Organized Health Care Education/Training Program | 3501 Mills Ave, Austin, TX 78731-6309 | 2020-05-24 |
| 1124687967 | Candace Sierra Jones | Student in an Organized Health Care Education/Training Program | 3501 Mills Ave, Austin, TX 78731-6391 | 2019-06-06 |
| 1538727599 | Kayton Jonathan Riley Wilson | Student in an Organized Health Care Education/Training Program | 3501 Mills Ave, Austin, TX 78731-6309 | 2019-06-04 |
| 1093371460 | Prit Patel | Student in an Organized Health Care Education/Training Program | 3501 Mills Ave, Austin, TX 78731-6309 | 2019-05-11 |
| 1558927095 | David Cho | Student in an Organized Health Care Education/Training Program | 3501 Mills Ave, Austin, TX 78731-6309 | 2019-05-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033710892 | Anew Era Tms & Psychiatry of Texas, Pa | Psychiatry & Neurology | 7514 N Mopac Expressway, Suite 100, Austin, TX 78731 | 2020-11-06 |
| 1962016519 | Jennie Rose Posey | Clinical Nurse Specialist | 6500 N. Mopac Expressway, Building 3, Suite 200, Austin, TX 78731 | 2020-09-01 |
| 1437772373 | Sharon Polackal | Student in an Organized Health Care Education/Training Program | Shoal Creek Hospital, 3501 Mills Avenue, 6th Floor, Austin, TX 78731 | 2020-05-27 |
| 1699309773 | Modern Vision Group, Pllc | Optometrist | 3908 Far W Blvd, Austin, TX 78731 | 2020-02-27 |
| 1235699562 | Catherine Kerrigan | Social Worker | 7514 N Mopac Expy, Suite 100, Austin, TX 78731 | 2019-03-22 |
| 1912474651 | Austin Dental Spa, Pllc | Dentist | 3305 Northland Ste 515, Austin, TX 78731 | 2018-10-31 |
| 1982110938 | Lindsey Sheppard | Dietitian, Registered | 7000 N Mopac Expy, Suite 200, Austin, TX 78731 | 2017-12-28 |
| 1144746066 | Sarah Cotton | Occupational Therapist | 3520 Executive Center Drive, Suite 128, Austin, TX 78731 | 2017-08-22 |
| 1699299792 | Avoia Mia Tapia | Physical Therapist | 3721 Executive Center Drive, Suite 201, Austin, TX 78731 | 2017-07-31 |
| 1265889745 | Home Focus Aba | Behavioral Analyst | 6804 Capital of Tx Hwy N 412, Austin, TX 78731 | 2016-05-16 |
| Find all providers in zip 78731 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063975134 | Austin Mind and Behavioral Health, LLC | Psychiatry & Neurology | 11673 Jollyville Rd Ste 201, Austin, TX 78759-4211 | 2019-04-07 |
| 1306311311 | Wendy W Lowry | Psychiatry & Neurology | 10311 Kariba Cv, Austin, TX 78726-1396 | 2018-10-05 |
| 1548762321 | Amana Psychiatric Associates | Psychiatry & Neurology | 4131 Spicewood Springs Rd Ste L2, Austin, TX 78759-8652 | 2018-03-07 |
| 1063913226 | Susan Stice Thompson | Psychiatry & Neurology | 4206 Gnarl Dr, Austin, TX 78731-2012 | 2018-02-23 |
| 1760905913 | Maitreyee Patel Lund,md,pllc | Psychiatry & Neurology | 12343 Hymeadow Dr Ste 2m, Austin, TX 78750-1830 | 2017-07-19 |
| 1699209650 | Mary Theresa Valls | Psychiatry & Neurology | 6712d Valburn Dr, Austin, TX 78731-1802 | 2017-04-17 |
| 1063879989 | Austinpsychiatric Services Pllc | Psychiatry & Neurology | 2806 Flintrock Trce Ste A103, Austin, TX 78738-1745 | 2016-01-22 |
| 1427427798 | Mark C. Schuchman, Md., Pllc | Psychiatry & Neurology | 11320 Viridian Way, Austin, TX 78739-2093 | 2015-09-17 |
| 1952798860 | Eden Maria Rouse | Psychiatry & Neurology | 1524 S Interstate 35 Ste 202, Austin, TX 78704-2671 | 2015-04-17 |
| 1033505979 | Kari Lanae Whatley | Psychiatry & Neurology | 1345 Philomena St Ste 300, Austin, TX 78723-3240 | 2015-04-07 |
| Find all providers in AUSTIN | ||||
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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.