DR. BLAKE DOUGLAS WAGNER JR. PH.D.
NPI 1013069061
Psychologist in Mansfield, OH
About Dr. Blake Douglas Wagner Jr. Ph.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. BLAKE DOUGLAS WAGNER JR. PH.D. (NPI 1013069061) is an individual psychologist in Mansfield, Ohio, licensed in Ohio (I-4127) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1988).
NPPES Registry Identity
Specialties & Licenses
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Blake Douglas Wagner Jr. Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Blake Wagner's NPI number?
The NPI number for Blake Wagner is 1013069061. It was assigned to this individual provider in the NPPES registry on January 18, 2007.
Where is Blake Wagner located?
Blake Wagner practices at 1575 Marion Ave, Mansfield, OH 44906. The listed phone number is (419) 529-9941.
What is Blake Wagner's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Blake Wagner enrolled in Medicare?
Yes. Blake Wagner is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Blake Wagner accept?
Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Oscar Health Insurance and Oscar Insurance Corporation of Ohio and 2 other insurers list Blake Wagner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Blake Wagner was last updated on September 2, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.