Organization Active NPI

Redeemed Mental Health LLC

  • Adult Mental Health Clinic/Center
  • Newport Beach, CA
National Provider Identifier
1952084451
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
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 PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 21, 2026

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)CodeLicenseStatePrimary
Pediatric Neurodevelopmental Disabilities PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
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.

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.

Verify at the official NPI Registry.