DR. STEPHEN ANTHONY WAGNER (NPI# 1871553644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871553644 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN ANTHONY WAGNER |
| Practice Address |
9601 Steilacoom Blvd Sw Tacoma WA 98498-7213 |
| Practice Telephone | 2535828900 |
| Practice Fax Number | 2537562879 |
| Mailing Telephone | 2535828900 |
| Mailing Fax Number | 2537562879 |
| Enumeration Date | 2006-03-25 |
| Last Update Date | 2008-04-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PY00001619 | WA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942533633 | Stephen C Wagner | Chiropractor | 5802 Se Powell Blvd, Portland, OR 97206-2826 | 2009-09-11 |
| 1154583805 | Stephen Faust Wagner | Medical Genetics | 714 S Birch Ave, Marshfield, WI 54449-3326 | 2008-06-25 |
| 1669432415 | Stephen W Wagner Jr. | Nurse Anesthetist, Certified Registered | 701 N Ist St, Springfield, IL 62781-0001 | 2006-03-24 |
| 1114396694 | Stephen Lee Wagner | Psychologist | 38720 Saltwell Rd, Lisbon, OH 44432-8303 | 2015-09-15 |
| 1578981585 | Stephen Wagner | Obstetrics & Gynecology | 101 Dudley St, Providence, RI 02905-2401 | 2014-04-07 |
| 1508112061 | Stephen David Wagner | Internal Medicine | 3214 E Race Ave, Searcy, AR 72143-4810 | 2012-08-01 |
| 1003044173 | Stephen Thomas Wagner | Dentist | 12137 Elm St, Princess Anne, MD 21853-1358 | 2009-06-29 |
| 1063524387 | Stephen R Wagner | Anesthesiology | 333 Smith Ave N, Saint Paul, MN 55102-2344 | 2006-08-31 |
| 1255443412 | Stephen P Wagner | Ophthalmology | 515 22nd Ave, Monroe, WI 53566-1569 | 2006-08-31 |
| 1790710077 | Stephen Charles Wagner | Psychologist | 321 E Main St, Suite 205, Bozeman, MT 59715 | 2006-07-12 |
| Street Address |
9601 STEILACOOM BLVD SW |
| City | TACOMA |
| State | WA |
| Zip Code | 98498-7213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225035728 | Frederick Steven Jestrab | Pharmacist | 9601 Steilacoom Blvd Sw, Western State Hospital- Mail Stop 13-100, Tacoma, WA 98498-7213 | 2005-06-30 |
| 1043741333 | Telecare Mental Health Services of Washington, Inc | Community/Behavioral Health | 9601 Steilacoom Blvd Sw, Bldg 27, Tacoma, WA 98498-7212 | 2017-03-27 |
| 1184005639 | David Flores | Social Worker | 9601 Steilacoom Blvd Sw, Tacoma, WA 98498-7212 | 2015-06-10 |
| 1861889255 | Haley Gummelt | Psychologist | 9601 Steilacoom Blvd Sw, Tacoma, WA 98498-7212 | 2015-04-23 |
| 1720408719 | Kyung Thompson | Pharmacist | 9601 Steilacoom Blvd Sw, Tacoma, WA 98498-7212 | 2014-04-17 |
| 1710287479 | Western State Hospital | Psychiatric Hospital | 9601 Steilacoom Blvd Sw, Tacoma, WA 98498-7212 | 2010-10-28 |
| 1538470497 | James Richard Mcguire | Psychiatry & Neurology | 9601 Steilacoom Blvd Sw, Tacoma, WA 98498-7212 | 2010-06-25 |
| 1780913657 | Telecare Mental Health Services of Washington, Inc | Psychiatric Residential Treatment Facility | 9601 Steilacoom Blvd Sw, Bldg 27, Tacoma, WA 98498-7212 | 2009-12-23 |
| 1578898375 | Michelle Hoffman | Pharmacist | 9601 Steilacoom Blvd Sw, Tacoma, WA 98498-7213 | 2009-10-12 |
| 1447483037 | Charles Edward Pascoe | Licensed Practical Nurse | 9601 Steilacoom Blvd Sw, Tacoma, WA 98498-7213 | 2009-08-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861045114 | James Ngigi Wachira | Social Worker | 7409 Coral Ln Sw, Lakewood, WA 98498 | 2019-07-16 |
| 1477111227 | Prana Briggs | Behavior Technician | 7902 Jade Drive Sw, Lakewood, WA 98498 | 2019-06-05 |
| 1528595212 | Palak Dweepkumar Shah | Physical Therapist | 10401 116th St Ct Sw, Apt K, Lakewood, WA 98498 | 2017-05-12 |
| 1821546946 | Epc General Contracting Services LLC | Home Health | 7423 Onyx Dr Sw, Lakewood, WA 98498 | 2016-09-18 |
| 1700212149 | Laverna Holwill Spain | Counselor | 8404 83rd Ave Sw Ste F, Lakewood, WA 98498 | 2013-09-17 |
| 1760787097 | Department of Social | Pharmacy | 9601 Stellacoom Blvd Sw, Tacoma, WA 98498 | 2011-01-18 |
| 1730321043 | James David Eshelman | Dentist | 8817-69th St. Ct. S.w., Lakewood, WA 98498 | 2009-04-01 |
| 1235393422 | Risa Leanne Salters | Social Worker | Western State Hospital 9601 Steilacoom Blvd. Sw, Lakewood, WA 98498 | 2008-07-16 |
| 1750596243 | Ruth Anne Hickey | Counselor | 12700 Gravelly Lake Dr Sw, Lakewood, WA 98498 | 2007-05-10 |
| 1982818803 | Linda J Leblanc | Nurse Practitioner | 10814 Deepwood Dr Sw, Lakewood, WA 98498 | 2007-05-09 |
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| 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 |
|---|---|---|---|---|
| 1679118434 | Huanyi Liu | Psychologist | 14910 Pacific Ave S, Tacoma, WA 98444-4657 | 2019-11-14 |
| 1932759842 | Kevin James Mckittrick | Psychologist | 317 M.l.k. Jr. Way, Tacoma, WA 98403-0214 | 2019-09-13 |
| 1831683895 | William Kefron Mccaw | Psychologist | 1530 South Union Avenue, Suite 16, Tacoma, WA 98405-1954 | 2018-06-21 |
| 1407367535 | Elizabeth Wortham Hirschhorn | Psychologist | 9600 Veterans Dr Sw # 81, Tacoma, WA 98493-0003 | 2017-10-16 |
| 1740653179 | Thomas Kramer | Psychologist | 5105 Grand Loop, 501, Tacoma, WA 98407-3174 | 2015-11-06 |
| 1700178787 | Les Hutchins | Psychologist | 1120 N K St Apt 5, Tacoma, WA 98403-1810 | 2011-05-09 |
| 1932423985 | Sonia Anne Partridge | Psychologist | Dept of Behavioral Health 9040 Jackson Ave, Tacoma, WA 98431-9001 | 2010-03-19 |
| 1437486396 | Rachelle Christine Langhofer | Psychologist | 1530 S Union Ave Ste 16, Tacoma, WA 98405-1954 | 2009-11-12 |
| 1265671283 | Diana Marie Repke | Psychologist | 9040 Jackson Ave Attn: Mchj-qcr, Tacoma, WA 98431-1100 | 2009-02-14 |
| 1124200068 | Rolf Wilhelm Frohlich | Psychologist | 3316 North 25th Street, Tacoma, WA 98406-6118 | 2007-12-03 |
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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.