Dr. John J Wagner, Ph.D
Psychologist in Reynoldsburg, OH. Individual provider (NPI-1).
NPI number1700801487
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1700801487
- Entity type
- Individual (NPI-1)
- Name
- Dr. John J Wagner
- Credential
- Ph.D
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 13, 2006
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | 5746 | OH | Yes |
Practice location
7664 Slate Ridge BlvdReynoldsburg, OH 43068-8158
Phone 614-863-2399 · Fax 614-863-4040
Mailing address
7664 Slate Ridge BlvdReynoldsburg, OH 43068-8158
Phone 614-863-2399 · Fax 614-863-4040
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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