DR. RONALD A WAGNER (NPI# 1992862098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992862098 |
| Entity Type | Individual |
| Full Name | DR. RONALD A WAGNER |
| Credential | PSY.D. |
| Practice Address |
110 W Squantum St Suite 17 Quincy MA 02171-2122 |
| Practice Telephone | 6179219152 |
| Mailing Telephone | 6179219152 |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
7455 | MA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649419086 | Ronald W Wagner Jr. | Registered Nurse | 2635 G St, Bakersfield, CA 93301-2813 | 2009-02-09 |
| 1689661415 | Ronald S Wagner | Radiology | 110 Marcus Drive, Melville, NY 11747 | 2005-10-06 |
| 1306401567 | Ronald W Wagner | Physical Therapist | 415 S 10th St, Atchison, KS 66002-2771 | 2019-05-03 |
| 1700933298 | Ronald T. Wagner | Optometrist | 115 Columbia Ave, Glasgow, KY 42141-2903 | 2007-01-05 |
| 1093892333 | Ronald Paul Wagner | Physician Assistant | 400 Hinckley Blvd, Ste A, Jackson, MI 49203-6125 | 2006-11-01 |
| 1366528721 | Ronald W Wagner | Specialist/Technologist | 250 University Ave, California, PA 15419-1341 | 2006-10-28 |
| 1851309793 | Ronald Kent Wagner Jr. | Dentist | 2045 Village Center Circle, Las Vegas, NV 89134 | 2006-08-04 |
| 1699783530 | Ronald Kent Wagner | Dentist | 2045 Village Center Circle, Las Vegas, NV 89134 | 2006-08-04 |
| 1538116538 | Ronald G Wagner | Anesthesiology | 455 Sherman St, Ste 510, Denver, CO 80203-4400 | 2006-05-27 |
| Street Address |
110 W SQUANTUM ST SUITE 17 |
| City | QUINCY |
| State | MA |
| Zip Code | 02171-2122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699277012 | Ream Akkeh | Registered Nurse | 110 W Squantum St, Quincy, MA 02171-2122 | 2018-03-01 |
| 1750881777 | Celeste Thi Le | Dietitian, Registered | 110 W Squantum St, Quincy, MA 02171-2122 | 2018-02-16 |
| 1083131205 | Nina Lowery | Physician Assistant | 110 W Squantum St, Quincy, MA 02171-2122 | 2017-08-28 |
| 1669877783 | D A W LLC | Durable Medical Equipment & Medical Supplies | 110 W Squantum St, Quincy, MA 02171 | 2014-10-31 |
| 1205235462 | William O'shea | Nurse Practitioner | 110 W Squantum St, Quincy, MA 02171-2122 | 2014-08-13 |
| 1538574488 | Chih Chao Yang | Internal Medicine | 110 W Squantum St, Quincy, MA 02171 | 2014-06-29 |
| 1407150436 | Natalie Catherine Morson | Family Medicine | 110 W Squantum St, Quincy, MA 02171-2122 | 2011-01-05 |
| 1699840173 | Lisa Marie Hamilton | Nurse Practitioner | 110 W Squantum St, Quincy, MA 02171-2122 | 2006-11-21 |
| 1194746206 | Lawrence J Civale | Social Worker | 110 W Squantum St, Suite 21, Quincy, MA 02171-2122 | 2006-07-22 |
| 1730127952 | Boston Vamc | Clinic/Center | 110 W Squantum St, Quincy, MA 02171-2122 | 2006-06-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730661190 | Yvonne Ann Roth | Social Worker | 1 Enterprise Drive, Quincy, MA 02171 | 2018-09-03 |
| 1902397631 | Kristen Spain | Registered Nurse | 110 West Squantum St., North Quincy, MA 02171 | 2018-05-29 |
| 1760984777 | Oumaima Mansouri | Counselor | 110 West Squantum Street, Quincy, MA 02171 | 2018-03-06 |
| 1386163699 | Sophonie Belizaire | Assistant Behavior Analyst | South Shore Mental Health, 500 Victory Rd., Quincy, MA 02171 | 2017-09-18 |
| 1306209168 | Katherine R Standish | Family Medicine | 110 W Squantum St Ste 8, North Quincy, MA 02171 | 2016-03-30 |
| 1669852778 | Joseph Odom | Counselor | 43 Old Colony Road, Quincy, MA 02171 | 2015-06-03 |
| 1578825436 | Hoi Yuk Pang | Counselor | 1 Billings Rd, Quincy, MA 02171 | 2012-06-15 |
| 1275862526 | Naeemah Tahira Smith | Counselor | 210a Quincy Shore Dr, Quincy, MA 02171 | 2009-12-16 |
| 1386876779 | Mark Everds | Counselor | 97 Holmes Street, 2nd Floor, North Quincy, MA 02171 | 2009-08-18 |
| 1306014741 | Ping-chiu Chan | Acupuncturist | Chinese Medical Center, 38 Billings Road, Quincy, MA 02171 | 2008-02-20 |
| Find all providers in zip 02171 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891344412 | Mari Donita Harness | Psychologist | 6044 Greensboro Hwy, Quincy, FL 32351-9100 | 2019-09-06 |
| 1497244982 | John Nicholas Petrou | Psychologist | 1 Dennis Ryan Pkwy, Quincy, MA 02169-5348 | 2018-05-09 |
| 1427226216 | Angela Marie Johnson | Psychologist | 1354 Hancock St Ste 315, Quincy, MA 02169-5109 | 2008-02-14 |
| 1396872784 | Patricia C. Packard | Psychologist | 1373 Quincy Shore Dr, Quincy, MA 02169-2336 | 2007-02-27 |
| 1972679710 | Paul Kimberley Ling | Psychologist | 59 Coddington St Ste 201, Quincy, MA 02169-4510 | 2006-11-24 |
| 1386734572 | John J Leahy | Psychologist | Nova Psychiatric Services Inc, 1261 Furnace Brook Parkway, Quincy, MA 02169 | 2006-10-16 |
| 1275627515 | Beverly Singer | Psychologist | One Adams Place, 859 Willard St, Suite 430, Quincy, MA 02464 | 2006-10-03 |
| 1013017300 | Paul Giella | Psychologist | 110 West Squantum St, Suite #21, Quincy, MA 02171 | 2006-09-25 |
| 1598870172 | Diana C. Direiter | Psychologist | 36 Weston Ave, Quincy, MA 02170-1833 | 2006-08-21 |
| 1487626123 | Pauline M. Pagliocca | Psychologist | 1266 Furnace Brook Pkwy, Suite 210, Quincy, MA 02169-4758 | 2006-02-06 |
| Find all providers in QUINCY | ||||
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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.