DR. WAYNE JAMES VON BARGEN (NPI# 1376593046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376593046 |
| Entity Type | Individual |
| Full Name | DR. WAYNE JAMES VON BARGEN |
| Credential | PH.D. |
| Practice Address |
1910 Saint Joe Center Rd Suite 44 Fort Wayne IN 46825-5000 |
| Practice Telephone | 2604718033 |
| Practice Fax Number | 2604718107 |
| Mailing Telephone | 2604718033 |
| Mailing Fax Number | 2604718107 |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
20010203A | IN | Behavioral Health & Social Service Providers |
| Street Address |
1910 SAINT JOE CENTER RD SUITE 44 |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46825-5000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881147635 | Adventures In Learning | Counselor | 1910 Saint Joe Center Rd, Office #63, Fort Wayne, IN 46825-5000 | 2016-07-28 |
| 1467804963 | Lauren M Rodenbeck | Marriage & Family Therapist | 1910 Saint Joe Center Rd, Office #63, Fort Wayne, IN 46825-5000 | 2016-07-07 |
| 1528418555 | Sydney Ann Hathaway | Counselor | 1910 Saint Joe Center Rd, Suite 23, Fort Wayne, IN 46825-5000 | 2016-06-21 |
| 1841603966 | Anne Devine | Marriage & Family Therapist | 1910 Saint Joe Center Rd, Fort Wayne, IN 46825-5000 | 2014-06-05 |
| 1104149749 | Ronda J. Salge | Social Worker | 1910 Saint Joe Center Rd, Suite 44, Fort Wayne, IN 46825-5000 | 2010-03-10 |
| 1194998179 | Ronald G Nicolet | Counselor | 1910 Saint Joe Center Rd, Suite 13, Fort Wayne, IN 46825-5000 | 2008-04-10 |
| 1033235098 | Victor L Rebman | Psychologist | 1910 Saint Joe Center Rd, Office #63, Fort Wayne, IN 46825-5000 | 2007-03-21 |
| 1851427546 | Hauschild Psychological & Counseling Services, Inc | Psychologist | 1910 Saint Joe Center Rd, Suite 44, Fort Wayne, IN 46825-5000 | 2007-02-26 |
| 1184785693 | Gregory M. Banicki | Counselor | 1910 Saint Joe Center Rd, Fort Wayne, IN 46825-5000 | 2006-12-12 |
| 1740362391 | Dunn Associates PC | Counselor | 1910 Saint Joe Center Rd, Suite 23, Fort Wayne, IN 46825-5000 | 2006-10-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336772078 | Bradley Murphy | Occupational Therapist | 2626 St Joe Center Ed, Fort Wayne, IN 46825 | 2020-02-21 |
| 1144851015 | Sabryna Roman | Developmental Therapist | 2626 St Joe Center Rd, Fort Wayne, IN 46825 | 2020-01-30 |
| 1205474103 | Ashleigh Miller | Developmental Therapist | 2626 St. Joe Center Rd, Fort Wayne, IN 46825 | 2019-12-11 |
| 1962055152 | Carehalo Ohio LLC | General Practice | 2510 Dupont Circle Dr., Suite 201, Fort Wayne, IN 46825 | 2019-07-17 |
| 1306318175 | Logan Alan Williams | Nurse Anesthetist, Certified Registered | 10315 Dawsons Creek Blvd Ste B, Fort Wayne, IN 46825 | 2018-12-18 |
| 1326582925 | Mark F Stoner LLC | Dentist | 9830 Auburn Rd Suite 102, Fort Wayne, IN 46825 | 2016-12-15 |
| 1336695782 | Nadine Rene' Handy | Nurse Practitioner | 3978 New Vision Dr., Fort Wayne, IN 46825 | 2016-08-26 |
| 1558815712 | Nathan Paul Miller | Physical Therapist | 10006 Auburn Park Dr, Fort Wayne, IN 46825 | 2016-08-05 |
| 1013366905 | Brianna Abbott | Physician Assistant | 1234 E Dupont Rd Ste 7, Fort Wayne, IN 46825 | 2016-06-10 |
| 1003276643 | Seiss, LLC | Psychologist | 9910 Dupont Circle Drive, Suite 140, Fort Wayne, IN 46825 | 2016-02-24 |
| Find all providers in zip 46825 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164052791 | Kadlec Consulting Services, LLC | Psychologist | 5525 Oak Valley Pl, Fort Wayne, IN 46845-1836 | 2020-01-23 |
| 1053628248 | Kelly Stewart Hutner | Psychologist | 11143 Parkview Plaza Dr Ste 320, Fort Wayne, IN 46845-1728 | 2010-09-09 |
| 1730495813 | Spencer Jenkins Booth | Psychologist | 6526 W Jefferson Blvd, Fort Wayne, IN 46804-6206 | 2010-08-26 |
| 1750519377 | Thomas Paul Dettmer | Psychologist | 6223 Constitution Dr, Fort Wayne, IN 46804-1517 | 2009-06-23 |
| 1750509667 | Casey Nelson | Psychologist | 1515 Magnavox Way, Fort Wayne, IN 46804-1533 | 2007-04-23 |
| 1982732491 | Shirley F Shiff | Psychologist | 8424 Victoria Woods Pl, Fort Wayne, IN 46825-6510 | 2007-02-28 |
| 1912080359 | Abigail Dormire Powers | Psychologist | 10311 Dawsons Creek Blvd, Suite F, Fort Wayne, IN 46825-1913 | 2006-10-21 |
| 1093774796 | Mcgee-lytle Inc | Psychologist | 2020 E Washington Blvd, Suite 650, Fort Wayne, IN 46803-1327 | 2006-03-21 |
| 1043283641 | Jason T. Cook | Psychologist | 7230 Engle Rd, Ste 304, Fort Wayne, IN 46804-2209 | 2006-02-13 |
| 1497737902 | Kevin L. Wieland | Psychologist | 1415 Magnavox Way, Suite 120, Fort Wayne, IN 46804-1565 | 2005-11-18 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46825 |
Please comment or provide details below to improve the information on DR. WAYNE JAMES VON BARGEN.
| 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.