DONNA MARIE WAGNER (NPI# 1912064676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912064676 |
| Entity Type | Individual |
| Full Name | DONNA MARIE WAGNER |
| Practice Address |
1601 Yosemite Blvd Suite A Modesto CA 95354-2800 |
| Mailing Address |
Po Box 4282 Sonora CA 95370-4282 |
| Practice Telephone | 2093411824 |
| Practice Fax Number | 2095231296 |
| Mailing Telephone | 2098400347 |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | MFC33775 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245328657 | Donna Wagner | Occupational Therapist | 787 37th St Ste E110, Vero Beach, FL 32960-7319 | 2006-10-11 |
| 1376507053 | Donna Mae Wagner | Registered Nurse | 13705 W Green Meadow Ln, New Berlin, WI 53151 | 2006-04-12 |
| 1457906240 | Donna Wagner | Art Therapist | 30211 Avenida De Las Bandera, Rancho Santa Margarita, CA 92688-2147 | 2019-08-07 |
| 1619422847 | Donna Wagner | Counselor | 3517 Brandon Ave Sw, Roanoke, VA 24018-1523 | 2016-08-17 |
| 1053781708 | Donna Marsha Wagner | Registered Nurse | 10 Dearborn Rd, Peabody, MA 01960-8836 | 2015-10-06 |
| 1710129309 | Donna J Wagner | Social Worker | 16200 19 Mile Rd, Clinton Township, MI 48038-1103 | 2009-03-30 |
| 1437271590 | Donna Wagner | Speech-Language Pathologist | 660 N Westmoreland Rd, Lake Forest, IL 60045-1659 | 2007-04-06 |
| 1487743969 | Donna Rm Wagner | Anesthesiology | 1501 E Mockingbird Ln, #101, Victoria, TX 77904-2155 | 2006-10-12 |
| 1093772188 | Donna K Wagner | Nurse Practitioner | 550 University Blvd, Uh 4100, Indianapolis, IN 46202-5149 | 2006-05-01 |
| Street Address |
1601 YOSEMITE BLVD SUITE A |
| City | MODESTO |
| State | CA |
| Zip Code | 95354-2800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932266517 | Callie C Graham | Specialist | 1601 Yosemite Blvd, Suite A, Modesto, CA 95354-2800 | 2007-01-02 |
| 1417106030 | Robi-ann Doyle | Social Worker | 1601 Yosemite Blvd, Suite B, Modesto, CA 95354-2800 | 2008-09-18 |
| 1669658407 | Gabriela Farias | Counselor | 1601 Yosemite Blvd, A, Modesto, CA 95354-2800 | 2008-01-10 |
| 1821274663 | Sharee Gray | Counselor | 1601 Yosemite Blvd, A, Modesto, CA 95354-2800 | 2008-01-10 |
| 1669655585 | Jeannette V Amador | Counselor | 1601 Yosemite Blvd, Suite A, Modesto, CA 95354-2800 | 2007-12-13 |
| 1821271404 | Joseph S Musa | Counselor | 1601 Yosemite Blvd, Suite A, Modesto, CA 95354-2800 | 2007-12-06 |
| 1235310061 | Susan Elizabeth Kelly | Specialist | 1601 Yosemite Blvd, Suite A, Modesto, CA 95354-2800 | 2007-11-20 |
| 1154501310 | Cynthia Josephine Favela | Specialist | 1601 Yosemite Blvd, Suite A, Modesto, CA 95354-2800 | 2007-11-05 |
| 1366621591 | Julie Denise Collins | Counselor | 1601 Yosemite Blvd, Suite A, Modesto, CA 95354-2800 | 2007-10-24 |
| 1346438488 | Gary W Pitchlynn | Specialist | 1601 Yosemite Blvd, Suite A, Modesto, CA 95354-2800 | 2007-10-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669987301 | Tristan Renee Bowman | Student in an Organized Health Care Education/Training Program | 1700 Mchenry Way, Modesto, CA 95354 | 2017-12-04 |
| 1134647944 | Melissa Kathleen Huizar | Occupational Therapist | 730 17th Street, Modesto, CA 95354 | 2017-08-31 |
| 1861948424 | Daniel Jones | Specialist/Technologist | 224 Eula Drive, Modesto, CA 95354 | 2016-09-01 |
| 1710333976 | Elite First Health | Clinic/Center | 3121 Yosemite Blvd Ste D2, Modesto, CA 95354 | 2016-05-06 |
| 1790169084 | Ronika Rodriguez | Licensed Vocational Nurse | 328 Thrasher Ave, Modesto, CA 95354 | 2015-07-16 |
| 1942688528 | Progressive Home Health and Hospice Care, LLC | Home Infusion | 1619 H Street, Modesto, CA 95354 | 2015-05-14 |
| 1225434277 | Ashley Ann Brown | Case Manager/Care Coordinator | 1000 Needham, Modesto, CA 95354 | 2014-11-18 |
| 1922380518 | Thao Truong | Specialist | 1321 I St Ste #3, Modesto, CA 95354 | 2011-09-09 |
| 1437441938 | Amy Marie Lipomi | Counselor | 613 13th Street, Suite B, Modesto, CA 95354 | 2011-05-03 |
| 1871800813 | Patricia Ashley Dalman | Social Worker | 1321 I Street Suite 3, Modesto, CA 95354 | 2010-09-13 |
| Find all providers in zip 95354 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891303731 | Youth for Christ Central Valley | Marriage & Family Therapist | 1101 M St, Modesto, CA 95354-0755 | 2020-07-16 |
| 1336629229 | Matina Trigo | Marriage & Family Therapist | 420 Downey Ave, Modesto, CA 95354-1301 | 2018-08-20 |
| 1629558903 | Central Valley Therapeutic Alliance, Inc. | Marriage & Family Therapist | 201 E Orangeburg Ave Ste F, Modesto, CA 95350-5355 | 2018-08-16 |
| 1659888543 | Dr. Irit Goldman Psy.d Lmft | Marriage & Family Therapist | 1604 Ford Ave Ste 1, Modesto, CA 95350-4649 | 2018-01-02 |
| 1013461748 | Pamela Christine Remides | Marriage & Family Therapist | 615 14th St, Modesto, CA 95354-2504 | 2016-08-10 |
| 1073964805 | Dwight Simpson Sr. | Marriage & Family Therapist | 1705 Ardmore Ave, Modesto, CA 95350-4100 | 2016-06-22 |
| 1811373640 | Melissa Ruiz | Marriage & Family Therapist | 5815 Stoddard Rd Suite 600, Modesto, CA 95356 | 2015-08-04 |
| 1750620902 | Jacquelyn Irene Mitchell | Marriage & Family Therapist | 3049 Darlene Ln, Modesto, CA 95355-4157 | 2013-02-07 |
| 1891046512 | Brittany Elizabeth Rushin | Marriage & Family Therapist | 1015 12th St Ste 11, Modesto, CA 95354-0838 | 2012-09-20 |
| 1467715979 | Angela Jean Kelley | Marriage & Family Therapist | 1809 Lobero Ln, Modesto, CA 95355-2521 | 2012-06-19 |
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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.