Powell Acqusition Company

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

7433 Issued in MA

Legal business name

POWELL ACQUSITION COMPANY

Doing business as

Powell & Wagner Associates, Inc.

Practice address

875 Massachusetts Ave
Suite 84
Cambridge, MA 02139-3067

Phone

(617) 494-1650

Fax

(617) 494-1975

NPI assigned

Mar 5, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Karl Wagner, PSY.D.

Title

President

Phone

(617) 494-1650

Specialties & licenses 1

Addresses

Other names 1

• Powell & Wagner Associates, Inc. Doing business as

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

{
    "created_epoch": "1267747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267747200000",
    "number": "1255654224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 MASSACHUSETTS AVE",
            "address_2": "SUITE 84",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021393067",
            "telephone_number": "617-494-1650",
            "fax_number": "617-494-1975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 MASSACHUSETTS AVE",
            "address_2": "SUITE 84",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021393067",
            "telephone_number": "617-494-1650",
            "fax_number": "617-494-1975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POWELL ACQUSITION COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-05",
        "last_updated": "2010-03-05",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "KARL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-494-1650",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "7433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Powell & Wagner Associates, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Colette Potts, LMFT
• Marianne F Potvin, LICSW
• Jeana Poulin, OTR
• Liat Poupko, MD
• Olga L Povolotskaia, DDS
• Brandon Powell
• Linda Marie Powell
• Mackenzie Kate Powell, CNM
• David G. Power, PH.D.
• Dolan Power, PHD

• Clinical Psychologist in Cambridge, MA
• Providers in Cambridge, MA by specialty
• Clinical Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.