Jay John Wagener, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY8453 Issued in CA

Practice address

67 W Dayton St
Pasadena, CA 91105-2001

Phone

(626) 825-8782

NPI assigned

Oct 8, 2026

Last updated

Oct 8, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1791417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791417600000",
    "number": "1093610255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 W DAYTON ST",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052001",
            "telephone_number": "626-825-8782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 W DAYTON ST",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052001",
            "telephone_number": "626-825-8782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGENER",
        "first_name": "JAY",
        "middle_name": "JOHN",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-10-08",
        "last_updated": "2026-10-08",
        "certification_date": "2026-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY8453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Mary Wade, LVN
• Tina Godwin Wadiwala, D.O.
• Corinne Rebecca Wadley
• Alexis Katherine Wadsworth
• Carolyn Joyce Wadsworth, NURSE PRACTITONER
• Linda Mans Wagener, PH.D.
• Christy Ann Wagner, LVN
• Vickie Joan Wagner
• Whitney Wagner, LMFT
• Veronica H. Wahba, PSY.D.

• Clinical Psychologist in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.