Dr Bonnie Wagner

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

DR BONNIE WAGNER

Practice address

194 E Elm Ave
Coalinga, CA 93210-2800

Phone

(559) 234-2239

Fax

(559) 234-2239

NPI assigned

Oct 7, 2010

Last updated

Oct 7, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Bonnie Wagner Wikler, PH.D.NPI 1982654695

Title

Clinical Psychologist

Phone

(559) 234-2239

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bonnie Wagner Wikler, PH.D.

  • Clinical Psychologist
  • San Diego, CA
  • NPI 1982654695
  NPD (past) Authorized official

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

{
    "created_epoch": "1286409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286409600000",
    "number": "1780994863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1437",
            "city": "COALINGA",
            "state": "CA",
            "postal_code": "932108237",
            "telephone_number": "559-234-2239",
            "fax_number": "559-234-2239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "194 E ELM AVE",
            "city": "COALINGA",
            "state": "CA",
            "postal_code": "932102800",
            "telephone_number": "559-234-2239",
            "fax_number": "559-234-2239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR BONNIE WAGNER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-07",
        "last_updated": "2010-10-07",
        "status": "A",
        "authorized_official_last_name": "WAGNER WIKLER",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "559-234-2239",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deleon Devaughn, LPT
• David Dinishak, PH.D.
• Lamberto Samodio Domingo, PSY.D.
• Kwame A Donkor, MD
• Afshin Dowlatshahi, D.D.S
• Mai Ai Duong, RPH
• Bernadine Teresa Earl, PSYCHOLOGIST
• Stacy Lee Eastman, DDS
• Eminence Healthcare Services, LLC
• Eminence Healthcare Services, LLC

• Psychologist in Coalinga, CA
• Providers in Coalinga, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.