DR. KARIN A WAGNER (NPI# 1568628436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568628436 |
| Entity Type | Individual |
| Full Name | DR. KARIN A WAGNER |
| Credential | PH.D. |
| Practice Address |
9 Locust Rd Brookhaven NY 11719-9627 |
| Practice Telephone | 9175832130 |
| Mailing Telephone | 9175832130 |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2008-07-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 015920 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OXFORD | P3586132 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851585608 | Karin E Wagner | Massage Therapist | 2732 Se 18th Ave, Portland, OR 97202-2265 | 2007-09-04 |
| 1447606058 | Karin Wagner | Genetic Counselor, MS | 4601 Dale Rd, Modesto, CA 95356-9718 | 2016-05-12 |
| 1316137011 | Karin Marie Wagner | Pharmacist | 446 S Washington Ave, Kankakee, IL 60901-3744 | 2007-07-28 |
| Street Address |
9 LOCUST RD |
| City | BROOKHAVEN |
| State | NY |
| Zip Code | 11719-9627 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265717078 | Crista Lyn Pervelis | Social Worker | 101 Fireplace Neck Road, Brookhaven, NY 11719 | 2011-10-13 |
| 1609179324 | Terry Chirayil | Dentist | 990 Crooked Hill Rd, West Brentwood, NY 11719 | 2010-12-20 |
| 1679648604 | Federation of Organizations for The Ny State Mentally Disabled Inc | Case Management | 111 Beaver Dam Road, Brookhaven, NY 11719 | 2006-11-22 |
| 1528398914 | Bellhaven Management LLC | Skilled Nursing Facility | 110 Beaver Dam Rd, Brookhaven, NY 11719 | 2010-01-06 |
| 1134116387 | Annette F Racaniello | Family Medicine | 1 Andiron Ln, Brookhaven, NY 11719-0078 | 2005-10-03 |
| 1225408149 | Rachel Tirelli | Social Worker | 16 Beaverbrook Dr, Brookhaven, NY 11719-9404 | 2015-10-05 |
| 1558926816 | Vanessa Vaughan | Licensed Practical Nurse | 414 S Country Rd, Brookhaven, NY 11719-9405 | 2019-05-02 |
| 1649828179 | Brookhaven Ambulance Co., Inc. | Ambulance | 32 Seeley St., Brookhaven, NY 11719-9408 | 2019-08-28 |
| 1275803736 | Alicia Mary Anderson | Registered Nurse | 7 Carman Blvd, Brookhaven, NY 11719-9428 | 2011-12-30 |
| 1053786897 | Ramsammy Medical PC | Clinic/Center | 8 Jareds Path, Brookhaven, NY 11719-9437 | 2015-12-04 |
| Find all providers in zip 11719 | ||||
| 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 |
|---|---|---|---|---|
| 1609947936 | Caroline B. Kohl | Psychologist | 8 Mary Anne Dr, Brookhaven, PA 19015-1121 | 2006-11-10 |
| 1649670985 | Brandi Tanner | Psychologist | 2801 Buford Hwy Ne, Suite 503, Brookhaven, GA 30329-2149 | 2014-08-22 |
| 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 | ||||
| City | BROOKHAVEN |
| Zip Code | 11719 |
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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.