Individual provider Active NPI

Wayne Robert D'Agaro, PSY.D.

  • Rehabilitation Psychologist
  • Altoona, PA
National Provider Identifier
1336136308
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PsychologistTaxonomy code 103TR0400X
License
PS005117-L Issued in PA
Practice address
2500 7TH Ave
Altoona, PA 16602-2004
Phone
(814) 889-3601
Fax
(814) 889-4369
NPI assigned
Oct 4, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X PS005117L PA
Clinical Psychologist 103TC0700X PS005117-L PA
Rehabilitation Psychologist 103TR0400X PS005117-L PA Primary

Addresses

Primary practice location

2500 7TH Ave
Altoona, PA 16602-2004

Mailing address

622 Peachdale LN
Duncansville, PA 16635-7515
Phone (814) 889-3601

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061113000437 PA Practitioner - Clinical Psychologist 4284632910 Practice locations: Altoona, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3701 Burgoon Rd
Altoona, PA 16602-1715
Phone (814) 944-8505

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PS005117LPAMDClinical Neuropsychologist
PS005117-LPAMDRehabilitation Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Altoona Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1336136308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 PEACHDALE LN",
            "city": "DUNCANSVILLE",
            "state": "PA",
            "postal_code": "166357515",
            "telephone_number": "814-889-3601",
            "fax_number": "814-889-4369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 7TH AVE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166022004",
            "telephone_number": "814-889-3601",
            "fax_number": "814-889-4369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'AGARO",
        "first_name": "WAYNE",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-04",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "PA",
            "license": "PS005117L",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS005117-L",
            "primary": false
        },
        {
            "code": "103TR0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Rehabilitation",
            "state": "PA",
            "license": "PS005117-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altoona, PA

Sources for this page

Verify at the official NPI Registry.