James Russell Wanner, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS009042L Issued in PA

Practice address

422 Atkins Ave
Lancaster, PA 17603-4913

Phone

(717) 538-0161

NPI assigned

Jul 20, 2005

Last updated

May 23, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Opening Path

  • Clinical Psychologist
  • Lancaster, PA
  • NPI 1164839312
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306108800000",
    "number": "1245239219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 ATKINS AVE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176034913",
            "telephone_number": "717-538-0161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 ATKINS AVE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176034913",
            "telephone_number": "717-538-0161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANNER",
        "first_name": "JAMES",
        "middle_name": "RUSSELL",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2011-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS009042L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Wamsley, LPN
• Adrian Wang, MD
• Cai Ling Wang
• Patricia Wang, DPT
• Diane Wanner, CRNP
• Joan Ann Wanner, M.S.
• Christopher Dende Wanyo
• Warby Parker Inc.
• Amy L Ward
• Luke Ward

• Psychologist in Lancaster, PA
• Providers in Lancaster, PA by specialty
• Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.