The Wagner Center for Psychotherapy

Primary specialty

PsychologistTaxonomy code 103T00000X

License

35S100358200 Issued in NJ

Legal business name

THE WAGNER CENTER FOR PSYCHOTHERAPY

Practice address

1172 E Ridgewood Ave
Suite #2
Ridgewood, NJ 07450-3936

Phone

(201) 445-3299

Fax

(201) 445-5940

NPI assigned

Dec 1, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Deborah Rifka Wagner, PH.D.

Title

President

Phone

(201) 445-3299

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1322697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322697600000",
    "number": "1801164124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1172 E RIDGEWOOD AVE",
            "address_2": "SUITE #2",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503936",
            "telephone_number": "201-445-3299",
            "fax_number": "201-445-5940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1172 E RIDGEWOOD AVE",
            "address_2": "SUITE #2",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503936",
            "telephone_number": "201-445-3299",
            "fax_number": "201-445-5940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WAGNER CENTER FOR PSYCHOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-01",
        "last_updated": "2011-12-01",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "RIFKA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-445-3299",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "35S100358200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Stop & Shop Supermarket Company LLC
• The Trustees of Columbia University in the City of New York
• The Valley Hospital
• The Valley Hospital
• The Valley Hospital Inc.
• Therapy Beyond Instinct
• Neil Alan Thoman, DMD
• Joly John Thomas
• Thrive Psychotherapy
• Frederick R. Tiencken, RPA-C

• Psychologist in Ridgewood, NJ
• Providers in Ridgewood, NJ by specialty
• Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2011; 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.