KRISTIN BEHRENS WAGNER (NPI# 1528480274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528480274 |
| Entity Type | Individual |
| Full Name | KRISTIN BEHRENS WAGNER |
| Credential | M.A. |
| Practice Address |
940 E Haverford Rd Suite 102 Bryn Mawr PA 19010-3845 |
| Practice Telephone | 2672952225 |
| Practice Fax Number | 6105278672 |
| Mailing Telephone | 2672952225 |
| Mailing Fax Number | 6105278672 |
| Enumeration Date | 2014-01-15 |
| Last Update Date | 2014-01-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952743924 | Kristin Wagner | Physician Assistant | 2200 W. Eau Gallie Blvd., Suite 202c, Melbourne, FL 32935-3166 | 2013-07-19 |
| 1205105624 | Kristin Diane Wagner | Nurse Practitioner | 915 W Maple, Columbus, KS 66725 | 2011-12-14 |
| 1457654808 | Kristin M Wagner | Counselor | 1461 Hickory Ct, Erie, CO 80516-7986 | 2010-12-07 |
| 1558903468 | Kristin Wagner | Social Worker | 10630 Little Patuxent Pkwy Ste 209, Columbia, MD 21044-6278 | 2019-10-11 |
| 1518440890 | Kristin Nicole Wagner | Social Worker | 2021 Saint Marys Ave, Omaha, NE 68102-2415 | 2018-09-12 |
| 1205316676 | Kristin Wagner | Speech-Language Pathologist | 2499 Zerbe Rd, Narvon, PA 17555-9328 | 2018-08-15 |
| 1053674945 | Kristin L Wagner | Nurse Practitioner | 1729 Burrstone Rd, New Hartford, NY 13413-1001 | 2012-06-17 |
| 1992096812 | Kristin St. Laurent Wagner | Counselor | 225 N 23rd St, Billings, MT 59101-2223 | 2011-04-26 |
| 1063699056 | Kristin Michelle Wagner | Social Worker | 2540 Charleston St, Oakland, CA 94602-2508 | 2008-01-22 |
| 1992879092 | Kristin Jo Wagner | Pharmacist | 3919 N Maple St, Spokane, WA 99205-1349 | 2006-11-20 |
| Street Address |
940 E HAVERFORD RD SUITE 102 |
| City | BRYN MAWR |
| State | PA |
| Zip Code | 19010-3845 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265431043 | Stacey E. Englander-turner | Dermatology | 940 E Haverford Rd, Suite 100, Bryn Mawr, PA 19010-3845 | 2005-07-14 |
| 1710432117 | Tao Institute of Mind & Body Medicine -bryn Mawr, PC | Psychiatry & Neurology | 940 E Haverford Rd, Suite 201, Bryn Mawr, PA 19010-3845 | 2016-08-16 |
| 1801242185 | Contemporary Tms of Brynmawr | Clinical Neuropsychologist | 940 E Haverford Rd, Bryn Mawr, PA 19010-3845 | 2016-05-05 |
| 1942572425 | Erin Lyn Saporito | Social Worker | 940 E Haverford Rd, Suite 102, Bryn Mawr, PA 19010-3845 | 2012-01-31 |
| 1053621623 | Neha Kirit Dixit | Clinical Neuropsychologist | 940 E Haverford Rd, Bryn Mawr, PA 19010-3845 | 2010-10-18 |
| 1104065242 | Haverford Dermatology PC | Dermatology | 940 E Haverford Rd, Suite 100, Bryn Mawr, PA 19010-3845 | 2009-02-12 |
| 1356566905 | Jingduan Yang | Psychiatry & Neurology | 940 E Haverford Rd, Suite 201, Bryn Mawr, PA 19010-3845 | 2007-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003462169 | Nada Farag | Dentist | 275 S Bryn Mawr Ave., #d04, Bryn Mawr, PA 19010 | 2019-08-14 |
| 1841764669 | For Eyes Optical of Pa | Optometrist | 1211 W Lancaster Ave, Rosemont, PA 19010 | 2019-01-15 |
| 1205355617 | Julia Peyton Vollmer | Student in an Organized Health Care Education/Training Program | 415 S Ithan Ave, Bryn Mawr, PA 19010 | 2017-09-18 |
| 1235657081 | Megan Christine Rosenblatt | Nurse Practitioner | 925 W Lancaster Ave Ste 210, Bryn Mawr, PA 19010 | 2017-08-31 |
| 1720511561 | Victoria Mckenna | Nurse Practitioner | 830 Old Lancaster Rd Ste 300, Bryn Mawr, PA 19010 | 2017-04-08 |
| 1922544014 | Andrew John D'amico | Behavioral Analyst | 1030 East Lancaster Ave., Suite L-10, Bryn Mawr, PA 19010 | 2017-01-12 |
| 1487105615 | Primal Physical Therapy,llc | Physical Therapist | 1111 E Lancaster Ave, Bryn Mawr, PA 19010 | 2016-10-24 |
| 1730636234 | Denise Lindsay Currier | Optometrist | 1062 E. Lancaster Ave, Suite 15d, Rosemont, PA 19010 | 2016-09-01 |
| 1518353754 | Elise Paquin | Student in an Organized Health Care Education/Training Program | 135 S Bryn Mawr Ave Ste 205, Bryn Mawr, PA 19010 | 2015-04-14 |
| 1679980064 | Main Line Counseling Partners | Social Worker | 1084 E. Lancaster Avenue, Bryn Mawr, PA 19010 | 2014-07-17 |
| Find all providers in zip 19010 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295157709 | Rayna Danielle Markin | Psychologist | 14 S Bryn Mawr Ave Ste 203, Bryn Mawr, PA 19010-3216 | 2014-01-17 |
| 1215575840 | Caitlyn Proctor | Psychologist | 19 Elliott Ave, Bryn Mawr, PA 19010-3407 | 2019-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497368260 | Marilia Marien | Psychologist | 713 Buck Ln, Haverford, PA 19041-1201 | 2020-08-31 |
| 1952914897 | Integrated Psychotherapy & Assessment Practice of Pennsylvania | Psychologist | 405 S 62nd St, Philadelphia, PA 19143-1031 | 2020-08-29 |
| 1891308706 | Yuhong He | Psychologist | 34 Overlook Cir, Garnet Valley, PA 19060-2248 | 2020-08-28 |
| 1205449873 | Yacob T Tekie | Psychologist | 3637 Chestnut St, Philadelphia, PA 19104-2612 | 2020-08-24 |
| 1891315750 | Anne Patricia Myers | Psychologist | 605 W Street Rd, Warminster, PA 18974-3214 | 2020-04-21 |
| 1326673120 | Life Line Community Ministries LLC | Psychologist | 9398 Birch Ln, Tobyhanna, PA 18466-3846 | 2020-03-12 |
| 1669005203 | North Shore Counseling Services | Psychologist | 901 Western Ave Ste 202, Pittsburgh, PA 15233-1719 | 2020-02-21 |
| 1184274946 | St. Luke's Hospital | Psychologist | 512 Bank Street, Bowmanstown, PA 18030 | 2019-09-13 |
| 1780241661 | Gregory Tucker | Psychologist | 780 E Market St Ste 220&230, West Chester, PA 19382-4882 | 2019-05-25 |
| 1023674199 | Kara Mcquaid | Psychologist | 555 Second Ave Ste B-300, Collegeville, PA 19426-3636 | 2019-05-14 |
| Find all providers with the same taxonomy | ||||
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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.