SUSAN WAGNER (NPI# 1508089053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508089053 |
| Entity Type | Individual |
| Full Name | SUSAN WAGNER |
| Credential | PH.D. |
| Practice Address |
223 Katonah Ave Ste Ef Katonah NY 10536-2146 |
| Practice Telephone | 9147607091 |
| Mailing Telephone | 9147607091 |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2020-10-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 7454 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811514722 | Susan Maxine Wagner | Nurse Practitioner | 103 Hilton Cir, Enterprise, AL 36330-7815 | 2020-06-26 |
| 1154672400 | Susan Wagner | Case Manager/Care Coordinator | 12 Lancaster Rd, Island Park, NY 11558-2136 | 2012-09-26 |
| 1134420185 | Susan Carol Wagner | Social Worker | 1108 Dithridge Dr, Johnstown, PA 15905-1503 | 2010-11-08 |
| 1467776781 | Susan Elizabeth Wagner | Marriage & Family Therapist | 79 Encinal Way, Ventura, CA 93001-3317 | 2010-03-15 |
| 1275768558 | Susan J Wagner | Community Health Worker | 278 John Tuttle Rd, New Kingston, NY 12459 | 2009-05-15 |
| 1437353976 | Susan Folmar Wagner | Counselor | 1040 Allegheny Ave Sw, Ocean Crest School, Bandon, OR 97411-9034 | 2007-06-11 |
| 1144337635 | Susan M Wagner | Physical Therapist | 85 Pleasant Dr, Hastings, MN 55033-1648 | 2006-08-23 |
| 1346695301 | Susan Rae Wagner | Nurse Practitioner | 142 Highland Dr, Lebanon, VA 24266-4636 | 2016-04-27 |
| 1679963482 | Susan Anglin Wagner | Counselor | 205 N Monroe St, Media, PA 19063-3052 | 2015-02-01 |
| 1609158864 | Susan Wagner | Community Health Worker | 312 Crescent St, Greenville, CA 95947 | 2011-09-14 |
| Street Address |
223 KATONAH AVE STE EF |
| City | KATONAH |
| State | NY |
| Zip Code | 10536-2146 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538728951 | Stana-lea Weisburd | Registered Nurse | 2875 Route 35, Katonah, NY 10536 | 2019-06-10 |
| 1275011967 | Melissa Mcewan | Nurse Practitioner | Four Winds Hospital, 800 Cross River Rd, Katonah, NY 10536 | 2018-08-03 |
| 1205322864 | Inna Rabinowitz | Case Manager/Care Coordinator | 16 Mt Holly Rd E, Katonah, NY 10536 | 2018-07-07 |
| 1194253633 | Corinne Elissa Viscomi | Speech-Language Pathologist | 190 Goldens Bridge Rd Ste 5, Katonah, NY 10536 | 2017-05-29 |
| 1861740466 | Antoinette Pennino | Speech-Language Pathologist | 698 Cross River Road, Katonah, NY 10536 | 2012-08-29 |
| 1033498530 | Marlene Carneiro | Dietitian, Registered | 113 Whitlockville Rd, Katonah, NY 10536 | 2011-08-15 |
| 1851561427 | Martin Samuel Lipton | Internal Medicine | 10 North Lane, Katonah, NY 10536 | 2008-03-10 |
| 1790990729 | Rituparna Pati | Internal Medicine | 9 Logging Rd, Katonah, NY 10536 | 2007-05-12 |
| 1023220738 | Donald Edward Kalsched | Psychologist | 23 Parkway St, 3-a, Katonah, NY 10536 | 2007-05-04 |
| 1710199914 | Ethelvida Ciccone | Physical Therapist | 17 Primrose St, Katonah, NY 10536 | 2007-05-03 |
| Find all providers in zip 10536 | ||||
| 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 |
|---|---|---|---|---|
| 1417298522 | Wanda A. Grochowski | Psychologist | 19 Van Renssalaer Rd, Katonah, NY 10536-3200 | 2013-03-14 |
| 1972860658 | Lisa Tabs | Psychologist | 8 Garlen Rd, Katonah, NY 10536-3425 | 2012-04-18 |
| 1750600813 | Carrie Cohen | Psychologist | 8 Shoshone Dr, Katonah, NY 10536-2921 | 2010-05-27 |
| 1881819928 | Irene Lovece | Psychologist | 223 Katonah Avenue, Suite J, Katonah, NY 10536 | 2007-04-16 |
| 1225003379 | Jill Cannon | Psychologist | 130 Allison Rd, Katonah, NY 10536-3430 | 2006-02-22 |
| 1477937084 | Anne Lloyd | Psychologist | 223 Katonah Ave, Katonah, NY 10536-2146 | 2015-07-13 |
| 1366729691 | Shawn T Prichard | Psychologist | 23 Parkway, Katonah, NY 10536-1570 | 2011-11-15 |
| 1508073131 | John Isaac Gerson | Psychologist | 215 Katonah Ave, Katonah, NY 10536-2138 | 2007-05-16 |
| 1558427682 | Michael Wells | Psychologist | 223 Katonah Ave, Katonah, NY 10536-2146 | 2007-01-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700487774 | Rebecca Kason | Psychologist | 38 Broome St Apt 2b, Brooklyn, NY 11222-5515 | 2020-11-05 |
| 1952900177 | Sarah Slotkin | Psychologist | 997 Altamont Blvd, Altamont, NY 12009-6313 | 2020-10-19 |
| 1265031488 | John Raymond Keefe | Psychologist | 205 E 95th St Apt 6c, New York, NY 10128-0233 | 2020-10-19 |
| 1447859830 | Casey Dowdell | Psychologist | 2201 Hempstead Tpke # 10, East Meadow, NY 11554-1859 | 2020-10-18 |
| 1578161063 | Amanda Robyn Schwartz | Psychologist | 11 Appleby Dr, Bedford, NY 10506-1340 | 2020-10-15 |
| 1912505967 | Tracy Lynn Clouthier | Psychologist | 203 Lillian Ave Apt 3, Syracuse, NY 13206-2155 | 2020-10-13 |
| 1477150035 | Laura Joy Kaplan | Psychologist | 1619 3rd Ave Apt 29h, New York, NY 10128-3942 | 2020-10-07 |
| 1639786833 | Benjamin Malkin | Psychologist | 663 Golf Dr, Valley Stream, NY 11581-3547 | 2020-09-30 |
| 1043827678 | Paul Lichtenberg | Psychologist | 236 Tow Path Rd, Accord, NY 12404-5516 | 2020-09-28 |
| 1073129169 | Alyssa Van Der Merwe | Psychologist | 500 Mamaroneck Ave Ste 320, Harrison, NY 10528-1600 | 2020-09-23 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SUSAN 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.