John Wagner Psychological Services LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

JOHN WAGNER PSYCHOLOGICAL SERVICES LLC

Doing business as

John Wagner

Practice address

7374 Reading Rd Ste 110
Cincinnati, OH 45237-3409

Phone

(937) 620-0542

Fax

(513) 299-0537

NPI assigned

Aug 7, 2019

Organization subpart

No

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

Authorized official

Name

Mr. John Wagner, PSYD

Title

Owner

Phone

(937) 620-0542

Specialties & licenses 1

Addresses

Other names 1

• John Wagner Doing business as

Locations

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

{
    "created_epoch": "1565136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634601600000",
    "number": "1609421536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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": [],
    "basic": {
        "organization_name": "JOHN WAGNER PSYCHOLOGICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-07",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-620-0542",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "John Wagner",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "John Wagner",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 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 Oct 19, 2021; 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.