DR. SURAJI WAGAGE PHD
NPI 1154911956
Psychologist in Philadelphia, PA

Active since January 25, 2021
3720 SPRUCE ST STE 409, PHILADELPHIA, PA 19104(844) 287-4228 Get Directions Write a Review

NPPES record last updated: January 27, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 12, 2021, Jan 25, 2021 (2 updates tracked since 2021).

About Dr. Suraji Wagage Phd NPPES

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

DR. SURAJI WAGAGE PHD (NPI 1154911956) is an individual psychologist in Philadelphia, Pennsylvania, licensed in Maryland (06656) and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1154911956
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. SURAJI WAGAGECredential: PHD
Location Address3720 SPRUCE ST STE 409Philadelphia, PA 19104-4115
Mailing Address3720 Spruce St Ste 409Philadelphia, PA 19104-4115 · (844) 287-4228
Sole ProprietorNo
Enumeration DateJanuary 25, 2021
Last NPPES UpdateJanuary 27, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2025
NPI 1154911956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Licenses Licensed in MD · 06656 Licensed in NY · 025772
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.
3720 SPRUCE ST STE 409, Philadelphia, PA 19104

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist
3720 SPRUCE ST STE 409
PHILADELPHIA, PA 19104
Psychologist
3720 SPRUCE ST STE 409
PHILADELPHIA, PA 19104
Psychologist
3720 SPRUCE ST STE 409
PHILADELPHIA, PA 19104

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 Suraji Wagage's NPI number?

The NPI number for Suraji Wagage is 1154911956. It was assigned to this individual provider in the NPPES registry on January 25, 2021.

Where is Suraji Wagage located?

Suraji Wagage practices at 3720 Spruce St Ste 409, Philadelphia, PA 19104. The listed phone number is (844) 287-4228.

What is Suraji Wagage'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 Suraji Wagage was last updated on January 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.