IndividualActiveMedicare EnrolledCan Order/Refer

Diane Wagner

Psychologist - Clinical

NPI: 1194211540Fairfax, Virginia, 22030(703) 646-1518Female

About Diane Wagner

Diane Wagner is a female healthcare professional specializing in Psychologist - Clinical with a focus on Clinical, registered under National Provider Identifier (NPI) number 1194211540. Diane Wagner received her medical education at OTHER, graduating in 2017.

Their primary practice is located at 11325 RANDOM HILLS RD STE 360, Fairfax, Virginia 22030. Patients can reach the office at (703) 646-1518. Diane Wagner is enrolled in Medicare and accepts Medicare patients, is authorized to order and refer Medicare services.

Diane Wagner has been NPI-registered since 2018.

Key Metrics

Practice Locations

Doctor Details

Identity & Credentials

NPI Number: 1194211540
Entity Type: Individual
First Name: Diane
Last Name: Wagner
Gender: Female
Medical School: OTHER
Graduation Year: 2017
Sole Proprietor: No
Status: active

Primary Practice Location

Address: 11325 RANDOM HILLS RD STE 360
City: Fairfax
State: Virginia
ZIP: 22030-0972
Country: United States
Phone: (703) 646-1518

Specialty & Taxonomy

Primary Specialty: Psychologist - Clinical
Classification: Psychologist
Specialization: Clinical
Taxonomy Code: 103TC0700X

NPI Registration

Enumeration Date: Jul 9, 2018
Last Updated: Aug 27, 2021
Certification Date: Aug 27, 2021

Mailing Address

Address: 10911 ADARE DR
City: FAIRFAX
State: VA
ZIP: 220323105

Medicare Enrollment

Medicare Enrolled: Yes
Can Order/Refer: Yes
Telehealth: No
Excluded: No

Frequently Asked Questions

What is Diane Wagner's NPI number?

Diane Wagner's National Provider Identifier (NPI) is 1194211540. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.

What does Diane Wagner specialize in?

Diane Wagner specializes in Psychologist - Clinical. They received their medical education at OTHER (class of 2017).

Where is Diane Wagner located?

Diane Wagner practices at 11325 RANDOM HILLS RD STE 360, Fairfax, Virginia 22030. You can reach them by phone at (703) 646-1518.

Does Diane Wagner accept Medicare?

Yes, Diane Wagner is enrolled in the Medicare program and accepts Medicare patients. They are also authorized to order and refer services under Medicare.

Does Diane Wagner offer telehealth or virtual visits?

Diane Wagner does not currently offer telehealth services. In-person visits are required at their practice location.

What is an NPI Number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Diane Wagner is 1194211540.