Active NPI
Linda A Wagasky, RN, PSY.D.
- Counseling Psychologist
- Colorado Springs, CO
National Provider Identifier
1194944025
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 2548
- Practice address
- 2222 N Nevada Ave
Colorado Springs, CO 80907-6819 - Phone
- (719) 776-5781
- Fax
- (719) 776-2313
- NPI assigned
- Apr 25, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 2548 | CO | Primary |
Addresses
Primary practice location
2222 N Nevada Ave
Colorado Springs, CO 80907-6819
Mailing address
825 E Pikes Peak Ave
Behavioral Health Pet
Colorado Springs, CO 80903-3635
Phone (719) 776-8482
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2548 | CO | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1194944025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "825 E PIKES PEAK AVE",
"address_2": "BEHAVIORAL HEALTH PET",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809033635",
"telephone_number": "719-776-8482",
"fax_number": "719-776-8568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2222 N NEVADA AVE",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809076819",
"telephone_number": "719-776-5781",
"fax_number": "719-776-2313"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAGASKY",
"first_name": "LINDA",
"middle_name": "A",
"credential": "RN, PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "CO",
"license": "2548",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.