Dr. Blake Douglas Wagner Jr.
PH.D.
Psychologist
About Dr. Blake Douglas Wagner Jr.
Dr. Blake Douglas Wagner Jr., PH.D., is a male healthcare professional specializing in Psychologist, registered under National Provider Identifier (NPI) number 1013069061. Dr. Blake Douglas Wagner Jr. received his medical education at OTHER, graduating in 1988.
Their primary practice is located at 1575 MARION AVE, Mansfield, Ohio 44906. Patients can reach the office at (419) 529-9941. Dr. Blake Douglas Wagner Jr. is enrolled in Medicare and accepts Medicare patients, is authorized to order and refer Medicare services.
Dr. Blake Douglas Wagner Jr. has been NPI-registered since 2007.
Key Metrics
Practice Locations
1
Doctor Details
Identity & Credentials
- NPI Number
- 1013069061
- Entity Type
- Individual
- First Name
- Blake
- Last Name
- Wagner
- Credential
- PH.D.
- Gender
- Male
- Medical School
- OTHER
- Graduation Year
- 1988
- Sole Proprietor
- No
- Status
- active
Primary Practice Location
- Address
- 1575 MARION AVE
- City
- Mansfield
- State
- Ohio
- ZIP
- 44906-3409
- Country
- United States
- Phone
- (419) 529-9941
- Fax
- (419) 529-0496
Specialty & Taxonomy
- Primary Specialty
- Psychologist
- Classification
- Psychologist
- Taxonomy Code
- 103T00000X
NPI Registration
- Enumeration Date
- Last Updated
- Certification Date
Mailing Address
- Address
- 1575 MARION AVE
- City
- MANSFIELD
- State
- OH
- ZIP
- 449063409
Medicare Enrollment
- Medicare Enrolled
- Yes
- Can Order/Refer
- Yes
- Telehealth
- No
- Excluded
- No
Frequently Asked Questions
What is Dr. Blake Douglas Wagner Jr.'s NPI number?
What does Dr. Blake Douglas Wagner Jr. specialize in?
Where is Dr. Blake Douglas Wagner Jr. located?
Does Dr. Blake Douglas Wagner Jr. accept Medicare?
Does Dr. Blake Douglas Wagner Jr. offer telehealth or virtual visits?
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 Dr. Blake Douglas Wagner Jr. is 1013069061.