LI WAN (NPI# 1619208048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619208048 |
| Entity Type | Individual |
| Full Name | LI WAN |
| Practice Address |
1 Bear Pl Unit 97334 Dept. of Psychology Waco TX 76798-7334 |
| Practice Telephone | 2547102245 |
| Enumeration Date | 2010-01-25 |
| Last Update Date | 2010-01-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 1999421104223017 | ZZ | Behavioral Health & Social Service Providers |
| N | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Street Address |
1 BEAR PL UNIT 97334 DEPT. OF PSYCHOLOGY |
| City | WACO |
| State | TX |
| Zip Code | 76798-7334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952891319 | Heather Cynthia Balent | Specialist/Technologist | 1 Bear Pl, Waco, TX 76798-0006 | 2018-05-11 |
| 1316910003 | Matthea Sherrell Williams | Specialist/Technologist | 1312 S 5th St, Waco, TX 76798-0009 | 2006-02-11 |
| 1376978379 | Cheryl Wooten | Psychologist | 1 Bear Pl Unit 97060, Waco, TX 76798-7060 | 2013-09-09 |
| 1881827624 | Jessica Jean Layden | Student in an Organized Health Care Education/Training Program | 1 Bear Pl Unit 97313, Waco, TX 76798-7313 | 2009-08-27 |
| 1649452285 | Lori Dee Greenwood | Specialist/Technologist | One Bear Place #97313, 1311 S. 5th St., Waco, TX 76798-7313 | 2007-12-05 |
| 1528033271 | Michael Chandler | Specialist/Technologist | 1 Bear Pl, Waco, TX 76798-7313 | 2006-02-17 |
| 1396345203 | Courtney Aileen Detringo | Specialist/Technologist | 1 Bear Pl Unit 97313, Waco, TX 76798-7313 | 2020-10-29 |
| 1245685254 | Andrew Gallucci | Specialist/Technologist | 1 Bear Pl Unit 97313, Waco, TX 76798-7313 | 2016-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841764 | Anitra Da'shai Mayes | Licensed Vocational Nurse | 1516 Gurley Ln Apt 3104, Waco, TX 76706-3531 | 2020-11-03 |
| 1588265995 | Penny Reanne Hinders | Licensed Vocational Nurse | 817 Speight Ave Apt 121, Waco, TX 76706-1419 | 2020-11-03 |
| 1467051557 | Jyotsna Jerome | Technician, Pathology | 9809 Shallow Creek Dr, Waco, TX 76708-6199 | 2020-10-20 |
| 1063010403 | Ramiahtrans LLC | Driver | 1326 S 11th St, Waco, TX 76706-6712 | 2020-10-16 |
| 1831797083 | Chase Stuart Richins | Physical Therapist | 4800 Memorial Dr Bldg 11, Waco, TX 76711-1329 | 2020-10-10 |
| 1598362923 | Isel N Pineda | Registered Nurse | 117 Wolf Ln, Waco, TX 76705-6170 | 2020-10-08 |
| 1366049488 | Ifunanya Onyima | Dietitian, Registered | 2500 Marketplace Dr Apt 536, Waco, TX 76711-2440 | 2020-10-01 |
| 1477160315 | Kaili Kennedy | Technician, Other | 66 Daughtrey Ave Apt 516, Waco, TX 76706-1677 | 2020-09-24 |
| 1104432632 | Jennifer Podrebarac | Counselor | 2010 Lasalle Ave, Ste B, Waco, TX 76706 | 2020-09-21 |
| 1881209559 | Veronica House | Nurse Practitioner | 358 Flint Rd, Waco, KY 40385-9714 | 2020-09-10 |
| Find all providers in WACO | ||||
| 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 |
|---|---|---|---|---|
| 1821571837 | Yvette Szabo | Psychologist | 4800 Memorial Dr Bldg 94, Waco, TX 76711-1329 | 2018-09-14 |
| 1881061950 | Melissa Switzer | Psychologist | 4221 Lake Shore Villa Dr, Waco, TX 76710-1445 | 2015-08-25 |
| 1447438320 | Julia M. Becker | Psychologist | 8414 Old Mcgregor Rd, Unit B, Waco, TX 76712-6496 | 2008-02-04 |
| 1518183946 | James Norman Shinder | Psychologist | 3925 Interstate 35 S, Waco, TX 76706-3710 | 2007-04-17 |
| 1134259476 | Tamara Lynn Hodges | Psychologist | 305 Londonderry, Ste 7, Waco, TX 76712-7906 | 2007-03-06 |
| 1043353758 | Mercy Chieza | Psychologist | 6515 Sanger Ave, Suite 2, Waco, TX 76710-7813 | 2007-02-14 |
| 1851440051 | Richard W. Brunn | Psychologist | 305 Londonderry Dr Ste 2, Waco, TX 76712-7906 | 2007-01-09 |
| 1649356031 | Keith Clements Warren | Psychologist | 5020 Lakeland Cir, Suite B, Waco, TX 76710-2996 | 2006-10-27 |
| 1972606317 | Constance Adler | Psychologist | 6501 Sanger, Waco, TX 76710 | 2006-09-07 |
| 1942292719 | M. Theresa Emerson | Psychologist | 6609 Sanger Ave, Waco, TX 76710-4252 | 2005-08-18 |
| Find all providers in WACO | ||||
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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.