Wagner & Associates PLLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

1592 Issued in AZ

Legal business name

WAGNER & ASSOCIATES PLLC

Practice address

143 E Merritt St
Prescott, AZ 86301-2028

Phone

(928) 445-5027

Fax

(928) 445-7071

NPI assigned

Dec 26, 2007

Last updated

Jan 25, 2012By 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

Dr. Russell Wagner, ED.D.

Title

Psychologist

Phone

(928) 445-5027

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1198627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327449600000",
    "number": "1841474814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 E MERRITT ST",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863012028",
            "telephone_number": "928-445-5027",
            "fax_number": "928-445-7071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 E MERRITT ST",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863012028",
            "telephone_number": "928-445-5027",
            "fax_number": "928-445-7071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAGNER & ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-26",
        "last_updated": "2012-01-25",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "928-445-5027",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AZ",
            "license": "1592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Waara Family Medicine, LLC
• James H Waara, PHARM D
• Jennifer Slocum Waara, MD
• Leon Leslie Wachtel, DDS
• Sheri L Wages Cornell, PA-C
• Carole Eaton Wagner, FNP
• Gail Ann Wagner, M.S.
• Joy Wagner, RN
• Pamela Jean Wagner, LPC
• Wal-Mart Stores, Inc. (Vision Center 30-5303)

• Psychologist in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2012; 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.