Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BRENDA J WAGNER PHD
NPI 1083663272
Psychologist in Atlanta, GA

Active since May 08, 2006
5455 MERIDIAN MARK RD NE, STE 400, ATLANTA, GA 30342(404) 785-3240(404) 785-3600 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Brenda J Wagner Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRENDA J WAGNER PHD (NPI 1083663272) is an individual psychologist in Atlanta, Georgia, licensed in Georgia (001706) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1083663272
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameBRENDA J WAGNERCredential: PHD
Location Address5455 MERIDIAN MARK RD NE, STE 400Atlanta, GA 30342
Mailing Address5455 Meridian Mark Rd Ne, Ste 400Atlanta, GA 30342 · (404) 785-3240 · Fax (404) 785-3600
Fax(404) 785-3600
Sole ProprietorNo
Enumeration DateMay 8, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1083663272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in GA · 001706
Definition
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.
5455 MERIDIAN MARK RD NE, Atlanta, GA 30342

Other Names 1

Other Name (5)Brenda Joy Whiting

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.

Neurological Surgery
5455 MERIDIAN MARK RD NE, STE 540
ATLANTA, GA 30342
5455 MERIDIAN MARK RD NE, STE 540
ATLANTA, GA 30342
Internal Medicine (Hematology & Oncology)
5455 MERIDIAN MARK RD NE, STE 400
ATLANTA, GA 30342
Nurse Practitioner (Pediatrics)
5455 MERIDIAN MARK RD NE, STE 400
ATLANTA, GA 30342
Neurological Surgery
5455 MERIDIAN MARK RD NE, STE 540
ATLANTA, GA 30342

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 Brenda Wagner's NPI number?

The NPI number for Brenda Wagner is 1083663272. It was assigned to this individual provider in the NPPES registry on May 8, 2006. The provider is also known as Brenda Joy Whiting.

Where is Brenda Wagner located?

Brenda Wagner practices at 5455 Meridian Mark Rd NE Ste 400, Atlanta, GA 30342. The listed phone number is (404) 785-3240.

What is Brenda Wagner's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Brenda Wagner was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 41 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.