Wagner Psychiatry LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

WAGNER PSYCHIATRY LLC

Practice address

5800 Monroe St Ste A9
Sylvania, OH 43560-2208

Phone

(419) 452-0495

NPI assigned

Aug 1, 2026

Last updated

Aug 20, 2026By 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

Benjamin Wagner, PMHNPNPI 1811616782

Title

Owner

Phone

(419) 452-0495

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.

• Benjamin Wagner

  • Psychiatric/Mental Health Nurse Practitioner
  • Sylvania, OH
  • NPI 1811616782
  NPD (past) Authorized official

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

{
    "created_epoch": "1785542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787184000000",
    "number": "1588587091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 N HAVEN RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436154732",
            "telephone_number": "419-452-0495",
            "fax_number": "419-273-0608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 MONROE ST STE A9",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435602208",
            "telephone_number": "419-452-0495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAGNER PSYCHIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-01",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-452-0495",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sadie Lynne Vorst
• Amy Voyles, FNP-C
• Christy Lee Wachowiak, LMSW
• Cynthia Wadysz, LPC, PC, C.HT.
• Cynthia Connor Wagenhauser, LISW
• Benjamin Wagner
• Rachelle Dawn Wagner
• Natalie L Walkup, PA
• Deborah Elaine Wallace, LPTA
• Adam C Walter, M.D.

• Psychiatric/Mental Health Nurse Practitioner in Sylvania, OH
• Providers in Sylvania, OH by specialty
• Psychiatric/Mental Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; 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.