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CAROLYN WAGNER
NPI 1164047072
Clinic/Center - Mental Health (Including Community Mental Health Center) in Wilmette, IL

Active since June 16, 2020
1159 WILMETTE AVE STE 225, WILMETTE, IL 60091(847) 728-8148 Get Directions Write a Review

NPPES record last updated: June 16, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Carolyn Wagner NPPES

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

CAROLYN WAGNER (NPI 1164047072) is a healthcare organization registered as a mental health (including community mental health center) in Wilmette, Illinois and active in the NPI registry since June 2020. The organization lists Carolyn Wagner, Psychotherapist, as its authorized official.

NPPES Registry Identity

NPI1164047072
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameCAROLYN WAGNER
Location Address1159 WILMETTE AVE STE 225Wilmette, IL 60091-2653
Mailing Address1159 Wilmette Ave Ste 225Wilmette, IL 60091-2653 · (847) 728-8148
Phone(847) 728-8148
Organization SubpartNo
Authorized OfficialCarolyn WagnerPsychotherapist · (847) 728-8148
Enumeration DateJune 16, 2020
NPPES CertifiedJune 16, 2020
✔ NPI 1164047072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
1159 WILMETTE AVE STE 225, Wilmette, IL 60091
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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 Carolyn Wagner's NPI number?

The NPI number for Carolyn Wagner is 1164047072. It was assigned to this organization in the NPPES registry on June 16, 2020.

Where is Carolyn Wagner located?

Carolyn Wagner is located at 1159 Wilmette Ave Ste 225, Wilmette, IL 60091. The listed phone number is (847) 728-8148.

What is Carolyn Wagner's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Carolyn Wagner was last updated on June 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.