Active NPI
Redeemed Mental Health LLC
- Adult Mental Health Clinic/Center
- Newport Beach, CA
National Provider Identifier
1952084451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- REDEEMED MENTAL HEALTH LLC
- Practice address
- 456 Old Newport Blvd
Newport Beach, CA 92663-4211 - Phone
- (949) 782-2254
- Fax
- (949) 203-6158
- NPI assigned
- Aug 10, 2023
- Organization subpart
- Yes
- Parent organization
- ANDREA M WAGNER PSYCHOLOGIST PC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Andrea M Wagner, PSY.D.
- Title
- Director/Owner
- Phone
- (949) 782-2254
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Neurodevelopmental Disabilities Physician | 2080P0008X | |||
| Adult Mental Health Clinic/Center | 261QM0850X | Primary | ||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | |||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X |
Addresses
Primary practice location
456 Old Newport Blvd
Newport Beach, CA 92663-4211
Mailing address
456 Old Newport Blvd
Newport Beach, CA 92663-4211
Phone (949) 782-2254
Other names 1
- Redeemed Mental Health
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@redeemedmentalhealth.com | Direct |
National Provider Directory
National Provider Directory- Part of
- Andrea M Wagner Psychologist PC
Locations
456 Old Newport Blvd
Newport Beach, CA 92663
Phone (949) 781-9025
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Social Worker
- Newport Beach, CA
- NPI 1235985904
-
- Marriage & Family Therapist
- Newport Beach, CA
- NPI 1083412456
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691625600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1779321600000",
"number": "1952084451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "456 OLD NEWPORT BLVD",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926634211",
"telephone_number": "949-782-2254",
"fax_number": "949-203-6158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "456 OLD NEWPORT BLVD",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926634211",
"telephone_number": "949-782-2254",
"fax_number": "949-203-6158"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REDEEMED MENTAL HEALTH LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ANDREA M WAGNER PSYCHOLOGIST PC",
"enumeration_date": "2023-08-10",
"last_updated": "2026-05-21",
"certification_date": "2026-05-21",
"status": "A",
"authorized_official_last_name": "WAGNER",
"authorized_official_first_name": "ANDREA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "DIRECTOR/OWNER",
"authorized_official_telephone_number": "949-782-2254",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSY.D."
},
"taxonomies": [
{
"code": "2080P0008X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics, Neurodevelopmental Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "info@redeemedmentalhealth.com",
"affiliation": "N",
"endpointDescription": "E-mail",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "456 Old Newport Blvd",
"city": "Newport Beach",
"state": "CA",
"country_code": "US",
"postal_code": "926634211",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Redeemed Mental Health",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Newport Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.