Beatrix Wagner, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY23746 Issued in CA

Practice address

6300 John Ryan Dr
Fort Worth, TX 76132-4122

Phone

(844) 244-3738

NPI assigned

Oct 30, 2007

Sex

Female

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

Locations

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.

• Neuroedge Psychological Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Thousand Oaks, CA
  • NPI 1275343857
  NPD Authorized official
• Hearts Foundation Inc

  • Community/Behavioral Health Agency
  • Fort Worth, TX
  • NPI 1689088569
  NPD
• Supportive Care LLC

  • Clinical Psychologist
  • Garland, TX
  • NPI 1477895043
  NPD
• Family Psychological Services Inc

  • Psychologist
  • Agoura Hills, CA
  • NPI 1881746733
  NPD
• Lifespan: a Center for Family Psychological Services Inc.

  • Clinical Psychologist
  • Thousand Oaks, CA
  • NPI 1255096426
  NPD

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441152000000",
    "number": "1639358385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5141 SKYLINE DR",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750348867",
            "telephone_number": "844-284-3278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 JOHN RYAN DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761324122",
            "telephone_number": "844-244-3738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "BEATRIX",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-30",
        "last_updated": "2015-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY23746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan Waggoner
• Charlyn Pafford Wagley
• Kristin Wagman
• Paul Andrew Wagman
• Alison Wagner
• Christina Marie Wagner
• Daniel B. Wagner, D.O.
• Diana Cypress Wagner, D.O.
• Elisabeth A Wagner, D.O.
• Ellen Wagner

• Psychologist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2015; 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.