DR. DANIEL MARC BAGNER (NPI# 1144485673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144485673 |
| Entity Type | Individual |
| Full Name | DR. DANIEL MARC BAGNER |
| Credential | PH.D. |
| Practice Address |
11200 Sw 8th St Fiu Center for Children and Families Miami FL 33199-2659 |
| Mailing Address |
11200 Sw 8th St Fiu Center for Children and Families Miami FL 33199-0001 |
| Practice Telephone | 3053487548 |
| Mailing Telephone | 3053487548 |
| Enumeration Date | 2008-07-24 |
| Last Update Date | 2019-08-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
PY8047 | FL | Behavioral Health & Social Service Providers |
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
PS01079 | RI | Behavioral Health & Social Service Providers |
| Street Address |
11200 SW 8TH ST FIU CENTER FOR CHILDREN AND FAMILIES |
| City | MIAMI |
| State | FL |
| Zip Code | 33199-2659 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952790818 | Margaret H. Sibley | Psychologist | 11200 Sw 8th Street, Ahc1 Room 146, Miami, FL 33199 | 2015-01-15 |
| 1568652857 | Alexandra Marie Alvarez | Specialist/Technologist | Fiu University Park Campus Zeb 251a, Miami, FL 33199 | 2007-08-01 |
| 1467664284 | Jennifer Ann Smoyak | Specialist/Technologist | 11200 Sw 8th St., Pharmed Arena Rm 156g, Miami, FL 33199 | 2007-05-04 |
| 1285259028 | Emily Geisler | Student in an Organized Health Care Education/Training Program | 11200 Sw 8th St, Ahc-2, Miami, FL 33199 | 2020-06-08 |
| 1083180004 | Qi Wilson | Nurse Practitioner | 11200 Sw 8th St, Miami, FL 33199 | 2018-10-17 |
| 1295111664 | Dalismar Morales | Psychologist | 11200 Sw 8th St, Gl-473, Miami, FL 33199 | 2015-08-07 |
| 1700017860 | Alan L Vitelli | Specialist/Technologist | 11200 Sw 8 St, Arena 156, Miami, FL 33199 | 2009-08-06 |
| 1366614299 | Jami Michele Furr | Psychologist | 11200 Sw 8th St, Miami, FL 33199 | 2008-04-01 |
| 1568653863 | Andrea Royall Miller | Specialist/Technologist | 11200 Sw 8th St, Miami, FL 33199 | 2007-08-05 |
| 1437276185 | Denisha S Fergusson | Specialist/Technologist | 11200 Sw 8th St, Miama, FL 33199 | 2007-03-26 |
| Find all providers in zip 33199 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801327564 | Paola Granados-radlick | Psychologist | 1200 Brickell Ave Ste 850, Miami, FL 33131-3212 | 2017-03-24 |
| 1205388527 | Safe Landing, Inc | Psychologist | 9200 Nw 8th Ave, Miami, FL 33150-2016 | 2016-11-03 |
| 1295083376 | Carolina Avila | Psychologist | 1695 Nw 9th Ave Ste 2516, Miami, FL 33136-1409 | 2012-08-21 |
| 1114252947 | Mercedes C. Garcia | Psychologist | 14221 Sw 120th St Ste 118, Miami, FL 33186-7463 | 2009-10-13 |
| 1437327129 | Magalis Aguilera | Psychologist | 9745 Sunset Dr, Suite 218, Miami, FL 33173-4652 | 2008-02-14 |
| 1275751125 | Susan Rose Chalfin | Psychologist | 1695 Nw 9th Avenue, Room 1517a, Miami, FL 33136 | 2007-04-23 |
| 1396222840 | Marina Villani Capo | Psychologist | 3100 Sw 62nd Ave, Miami, FL 33155-3009 | 2018-07-26 |
| 1740714948 | Eileen Matias Davis | Psychologist | 1601 Nw 12th Ave, Suite 4059, Miami, FL 33136-1005 | 2017-04-13 |
| 1730624818 | Susan Acosta, Phd | Psychologist | 7700 N Kendall Dr, Miami, FL 33156-7564 | 2016-12-28 |
| 1194277756 | Pediatric Specialty Group, Inc. | Psychologist | 3100 Sw 62nd Ave, Department of Psychology, Miami, FL 33155-3009 | 2016-10-31 |
| Find all providers in MIAMI | ||||
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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.