DR. MEGAN L. WAGNER (NPI# 1285082354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285082354 |
| Entity Type | Individual |
| Full Name | DR. MEGAN L. WAGNER |
| Credential | PH.D. |
| Practice Address |
5757 Wilshire Blvd Ste 439 Los Angeles CA 90036-3628 |
| Practice Telephone | 3105799335 |
| Mailing Telephone | 3105799335 |
| Enumeration Date | 2016-05-31 |
| Last Update Date | 2019-11-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
27426 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174123509 | Megan Ashley Wagner | Nurse Practitioner | 10012 Kennerly Rd Ste 406, Saint Louis, MO 63128-2197 | 2020-10-26 |
| 1730739442 | Megan Elizabeth Wagner | Internal Medicine | 220 Eauclair St, Kingsport, TN 37664-4840 | 2019-09-14 |
| 1205126190 | Megan Marie Wagner | Physician Assistant | 4700 Research Way, Lakeland, FL 33805-8531 | 2011-04-12 |
| 1679789630 | Megan Marks Wagner | Speech-Language Pathologist | 281 N Fair Ave, Hamilton, OH 45011-4242 | 2007-05-15 |
| 1821191834 | Megan J Wagner | Social Worker | 207 Primrose Ln, Camdenton, MO 65020-6995 | 2006-09-06 |
| 1386260198 | Megan Mackenzie Wagner | Optometrist | 900 Nw 17th St, Miami, FL 33136-1119 | 2020-06-18 |
| 1578123873 | Megan Elizabeth Wagner | Behavioral Analyst | 1300 I St Nw Ste 400e, Washington, DC 20005-3318 | 2019-06-18 |
| 1780178848 | Megan Wagner | Registered Nurse | 420 W 5th Ave, Flint, MI 48503 | 2018-06-21 |
| 1013399096 | Megan Wagner | Speech-Language Pathologist | 5750 Dtc Pkwy, Suite 170, Greenwood Village, CO 80111-3226 | 2015-06-25 |
| 1982026795 | Megan Wagner | Speech-Language Pathologist | 2 Gracedale Ave, Nazareth, PA 18064-8785 | 2014-01-14 |
| Street Address |
5757 WILSHIRE BLVD STE 439 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90036-3628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821024845 | Jayson L. Mystkowski | Psychologist | 5757 Wilshire Blvd Ste 439, Los Angeles, CA 90036 | 2006-06-23 |
| 1740881176 | Dgmandel A Licensed Clinical Social Worker Corporation | Social Worker | 5757 Wilshire Blvd Ste 439, Los Angeles, CA 90036-3628 | 2020-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174140198 | Stephanie N Carter | Dietitian, Registered | 460 Burnside Ave, Apt 8k, Los Angeles, CA 90036 | 2020-06-26 |
| 1609492107 | Katherine Niemela | Registered Nurse | 5619 W 4th St, Suite 5, Los Angeles, CA 90036 | 2020-06-19 |
| 1508384330 | Matthew Milstein | Psychologist | 5675 West Olympic Blvd., Los Angeles, CA 90036 | 2017-08-31 |
| 1912423963 | John Allen Ostlund | Counselor | 5675 W. Olympic Blvd, Los Angeles, CA 90036 | 2017-08-21 |
| 1306376629 | Scott William Wilson | Case Manager/Care Coordinator | 1891 N. Gaffey Street Suite 219 & 221, San Pedro, CA 90036 | 2017-06-19 |
| 1205382298 | Janice Payson | Marriage & Family Therapist | 801 South Spaulding Avenue, Suite A, Los Angeles, CA 90036 | 2016-08-30 |
| 1134577281 | Parul A Desai | Registered Nurse | 5800 Wilshire Blvd, Los Angeles, CA 90036 | 2016-05-31 |
| 1477914604 | Sarah Frank Jarvis | Marriage & Family Therapist | 7421 Beverly Blvd Ste 2, Los Angeles, CA 90036 | 2016-03-16 |
| 1558747162 | Paul Oberon, Psy.d, Inc. | Community/Behavioral Health | 7421 Beverly Blvd., #10, Los Angeles, CA 90036 | 2015-08-05 |
| 1235543117 | Benjamin Maixner | Behavioral Analyst | 441 1/2 N Curson Ave, Los Angeles, CA 90036 | 2014-06-18 |
| Find all providers in zip 90036 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962324 | Marjan-marcia Khalitchi-alavi | Psychologist | 12400 Wilshire Blvd #230, Los Angeles, CA 90025 | 2020-11-06 |
| 1851990626 | Sarah R Martin | Psychologist | 650 Charles E Young Dr S # 12-096, Los Angeles, CA 90095-8347 | 2020-10-22 |
| 1184223851 | Emily Jenchura | Psychologist | 11301 Wilshire Blvd (116b, Rm. A-130), Los Angeles, CA 90073 | 2020-10-22 |
| 1679189377 | Dr. Sandra Jeanne Brim, Ph.d. | Psychologist | 11601 Gorham Ave Apt 1, Los Angeles, CA 90049-4738 | 2020-09-17 |
| 1194330274 | Marilyn S Zweifach | Psychologist | 3606 Barry Avenue, Los Angeles, CA 90066 | 2020-09-15 |
| 1538787874 | Molly Burrets | Psychologist | 5619 N Figueroa St Apt 219, Los Angeles, CA 90042-4979 | 2020-07-13 |
| 1770100737 | Mary Carde | Psychologist | 1572 Ensley Ave, Los Angeles, CA 90024-5325 | 2020-06-25 |
| 1134745193 | Bloom Psychology, Inc. | Psychologist | 3800 Barham Blvd Ste 420, Los Angeles, CA 90068-1042 | 2020-06-24 |
| 1639799406 | Joseph Aguayo | Psychologist | 11849 W Olympic Blvd Ste 202, Los Angeles, CA 90064-1148 | 2020-04-22 |
| 1912536020 | Butterflly Health, Inc. | Psychologist | 3530 Wilshire Blvd Ste 1650, Los Angeles, CA 90010-2371 | 2020-04-02 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90036 |
Please comment or provide details below to improve the information on DR. MEGAN L. WAGNER.
| 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.