Organization Active NPI

Lindsay Wagner, Psy.D. LLC

  • Clinical Psychologist
  • Boston, MA
National Provider Identifier
1952872673
Registry record updated May 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
LINDSAY WAGNER, PSY.D. LLC
Practice address
75 Arlington St FL 5
Boston, MA 02116-3936
Phone
(857) 241-3623
NPI assigned
Dec 6, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2019

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

Authorized official

Name
Dr. Lindsay Wagner, PSY.D.
Title
Clinical Psychologist
Phone
(857) 241-3623

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

75 Arlington St FL 5
Boston, MA 02116-3936

Mailing address

75 Arlington St FL 5
Boston, MA 02116-3936
Phone (857) 241-3623

National Provider Directory

National Provider Directory

Locations

75 Arlington St
Fl 5
Boston, MA 02116
Phone (617) 366-2550

NPI Registry JSON

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

{
    "created_epoch": "1544054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557964800000",
    "number": "1952872673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 ARLINGTON ST FL 5",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021163936",
            "telephone_number": "857-241-3623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 ARLINGTON ST FL 5",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021163936",
            "telephone_number": "857-241-3623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDSAY WAGNER, PSY.D. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-06",
        "last_updated": "2019-05-16",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "LINDSAY",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "857-241-3623",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2019; 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.