Aureen P. Wagner, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

010893 Issued in NY

Practice address

2000 Regency Pkwy Ste 204
Cary, NC 27518-8507

Phone

(919) 371-8230

Fax

(919) 469-8639

NPI assigned

Jul 31, 2006

Last updated

Feb 25, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298592000000",
    "number": "1023023553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 REGENCY PKWY STE 204",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275188507",
            "telephone_number": "919-371-8230",
            "fax_number": "919-469-8639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 REGENCY PKWY STE 204",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275188507",
            "telephone_number": "919-371-8230",
            "fax_number": "919-469-8639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "AUREEN",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2011-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "010893",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NC",
            "license": "NC3973",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiera Martez Wade
• George M Wadie, M.D.
• Rebecca Wadlinger, D.O.
• Adelita Wagenaar
• Elisabeth Ann Wagers, LCSWA
• Dianne B Wagner, NP
• Kurtis Philip Wagoner, RBT
• Meghan Wagstaff, DDS
• Maenette Wahrenburg
• Karen Natasha Waithera

• Clinical Psychologist in Cary, NC
• Providers in Cary, NC by specialty
• Clinical Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2011; 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.