DR. LAURA MARIE WENDLANDT (NPI# 1558591172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558591172 |
| Entity Type | Individual |
| Full Name | DR. LAURA MARIE WENDLANDT |
| Credential | PH.D. |
| Practice Address |
5859 W Talavi Blvd Ste 180 Glendale AZ 85306-1873 |
| Mailing Address |
40438 N Kennedy Dr San Tan Valley AZ 85140-9866 |
| Practice Telephone | 6025602836 |
| Practice Fax Number | 3175208200 |
| Mailing Telephone | 4066971040 |
| Enumeration Date | 2009-07-16 |
| Last Update Date | 2020-08-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 103T00000X | Psychologist | 382 | MT | Behavioral Health & Social Service Providers |
| N | 103T00000X | Psychologist | PY0401 | NV | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY-004631 | AZ | Behavioral Health & Social Service Providers |
| N | 103TH0100X |
Psychologist Specialization: Health Service |
Behavioral Health & Social Service Providers |
| Street Address |
5859 W TALAVI BLVD STE 180 |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85306-1873 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306443585 | Grace Katherine Brotherton | Behavior Technician | 5859 W Talavi Blvd Ste 180, Glendale, AZ 85306-1873 | 2020-10-01 |
| 1184231458 | Ashley Jean Biondo | Behavior Technician | 5859 W Talavi Blvd Ste 180, Glendale, AZ 85306-1873 | 2020-09-30 |
| 1093322968 | Crystal Ann Carroll | Behavior Technician | 5859 W Talavi Blvd Ste 180, Glendale, AZ 85306-1873 | 2020-09-25 |
| 1366056699 | Juliana Terese Hill | Behavior Technician | 5859 W Talavi Blvd Ste 180, Glendale, AZ 85306-1873 | 2020-09-03 |
| 1861006199 | Jessica Yvonne Camacho | Behavior Technician | 5859 W Talavi Blvd Ste 180, Glendale, AZ 85306-1873 | 2020-09-03 |
| 1932713260 | Rosa Marie Chanza | Behavior Technician | 5859 W Talavi Blvd Ste 180, Glendale, AZ 85306-1873 | 2020-09-03 |
| 1154935484 | Jada Inez Ward | Behavior Technician | 5859 W Talavi Blvd Ste 180, Glendale, AZ 85306-1873 | 2020-09-03 |
| 1437762465 | Alyssa Talya Guetter-peters | Behavior Technician | 5859 W Talavi Blvd Ste 180, Glendale, AZ 85306-1873 | 2020-08-28 |
| 1437762663 | Lucas Wethington Dillon | Behavior Technician | 5859 W Talavi Blvd Ste 180, Glendale, AZ 85306-1873 | 2020-08-27 |
| 1003428392 | Daniella Lucille Gentile | Behavior Technician | 5859 W Talavi Blvd Ste 180, Glendale, AZ 85306-1873 | 2020-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548784648 | Michelle Weissgerber | Registered Nurse | 6640 W Maui Ln, Glendale, AZ 85306 | 2017-07-31 |
| 1427502947 | Az Interact LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6055 West Caribe Lane, Glendale, AZ 85306 | 2016-08-12 |
| 1649667635 | Richard Moreno Jr. | Physical Therapy Assistant | 6509 W Acapulco Ln, Glendale, AZ 85306 | 2015-04-17 |
| 1568863819 | Alternative Living for You | Assisted Living Facility | 5328 W. Tierra Buena Ln., Glendale, AZ 85306 | 2014-09-05 |
| 1649614561 | Matthew Brownell | Internal Medicine | 5555 W, Thunderbird, Banner Thunderbird Medical Center, Glendale, AZ 85306 | 2013-04-22 |
| 1366736266 | Miles Christenson | Speech-Language Pathologist | 14627 N 60th Ave, Glendale, AZ 85306 | 2011-06-08 |
| 1285928721 | Nathalie Tania Petein-alamshaw | Internal Medicine | 5555 W Thunderbird Road, Glendale, AZ 85306 | 2011-06-01 |
| 1134351869 | William J. Duff | Counselor | 5701 W. Talavi Boulevard, Suite 180, Phoenix, AZ 85306 | 2009-08-13 |
| 1538321369 | Cardiovascular Consultants, Ltd | Non-Pharmacy Dispensing Site | 5422 W. Thunderbird, Suite 8, Glendale, AZ 85306 | 2008-07-02 |
| 1316109143 | Cardiovascular Consultants, Ltd | Non-Pharmacy Dispensing Site | 5620 W. Thunderbird, Suite D3, Glendale, AZ 85306 | 2008-07-02 |
| Find all providers in zip 85306 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235736190 | Tyler Davis LLC | Psychologist | 8607 N 59th Ave Suite C-6, Glendale, AZ 85302 | 2020-10-05 |
| 1871155986 | Jane Bowman Lischwe | Psychologist | 1818 Verdugo Blvd Ste 205, Glendale, CA 91208-1435 | 2019-06-28 |
| 1689143356 | Michael Brendzal | Psychologist | 501 W Glenoaks Blvd # 307, Glendale, CA 91202-2896 | 2018-11-24 |
| 1902251002 | Michael David Mcgady Jr. | Psychologist | 4425 W Olive Ave Ste 151a, Glendale, AZ 85302-3843 | 2016-04-27 |
| 1366809790 | Hansen Behavioral Health A Psychological Corporation | Psychologist | 524 N Maryland Ave, Suite 1, Glendale, CA 91206-2266 | 2016-01-15 |
| 1326469461 | Alisa Angelone | Psychologist | 715 N Central Ave Ste 102, Glendale, CA 91203-1286 | 2013-12-16 |
| 1699020180 | Ziba Saatchian | Psychologist | 135 S Jackson St, Suite #204, Glendale, CA 91205-4916 | 2012-07-20 |
| 1003181967 | Daura M De Assis | Psychologist | 436 Palm Dr, # 6, Glendale, CA 91202-3215 | 2012-03-12 |
| 1134411655 | Bryan Choi | Psychologist | 710 S Central Ave Ste 300, Glendale, CA 91204-4614 | 2011-05-03 |
| 1194029298 | Mike Zussman | Psychologist | 5800 N Bayshore Dr Ste A250, Glendale, WI 53217-4543 | 2011-01-04 |
| Find all providers in GLENDALE | ||||
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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.