John J Wagner, PSY.D

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6292 Issued in OH

Practice address

7374 Reading Rd Ste 110
Cincinnati, OH 45237-3409

Phone

(937) 620-0542

Fax

(513) 299-0537

NPI assigned

Jan 24, 2007

Last updated

Aug 25, 2021By 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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• John Wagner Psychological Services LLC

  dba John Wagner

  • Psychologist
  • Cincinnati, OH
  • NPI 1609421536
  Authorized official Same address or phone
• Dobbins Nursing Home Inc

  • Nursing Facility/Intermediate Care Facility
  • New Richmond, OH
  • NPI 1780771915
  NPD (past)
• Skilled Care Pharmacy,LLC

  dba Skilled Care Medical

  • Durable Medical Equipment & Medical Supplies
  • Mason, OH
  • NPI 1437324522
  NPD (past)

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629849600000",
    "number": "1588719066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2106 KNIGHTSBRIDGE DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452442629",
            "telephone_number": "513-388-0254",
            "fax_number": "513-388-0254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7374 READING RD STE 110",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452373409",
            "telephone_number": "937-620-0542",
            "fax_number": "513-299-0537"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2106 Knightsbridge Dr",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452442629",
            "country_code": "US",
            "telephone_number": "513-388-0254",
            "fax_number": "513-388-0254",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "JOHN",
        "middle_name": "J",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OH",
            "license": "6292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George G Wagner, MD
• Hannah Wagner
• Jacob Wagner
• Jennifer Lynn Wagner, R.N.
• Jessica E Wagner
• Leah Elizabeth Wagner, MS, RD, LD
• Madeline Michelle Wagner
• Mary Anastasia Wagner
• Nathaniel Wagner
• Robert J Wagner

• Psychologist in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.