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DR. MARK S. WAGNER PH.D.
NPI 1184647356
Psychologist - Clinical in Philadelphia, PA

Active since July 26, 2006
2824 COTTMAN AVE, SUITE 8, PHILADELPHIA, PA 19149(215) 331-7707(215) 331-7790 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Mark S. Wagner Ph.d. NPPES

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

DR. MARK S. WAGNER PH.D. (NPI 1184647356) is an individual clinical provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (PS 003973L) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1184647356
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. MARK S. WAGNERCredential: PH.D.
Location Address2824 COTTMAN AVE, SUITE 8Philadelphia, PA 19149-1400
Mailing Address2824 Cottman Ave, Suite 8Philadelphia, PA 19149-1400 · (215) 331-7707 · Fax (215) 331-7790
Phone(215) 331-7707
Fax(215) 331-7790
Sole ProprietorYes
Enumeration DateJuly 26, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1184647356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in PA · PS 003973L
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
2824 COTTMAN AVE, Philadelphia, PA 19149
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Other Providers at the Same Location NPPES 7

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

MR. ALAN B. MARKOWITZ M..A.
Counselor (Professional)
2824 COTTMAN AVE, SUITE 8
PHILADELPHIA, PA 19149
Philadelphia County (215) 331-7707
CO-MHAR INC.
Home Health
2824 COTTMAN AVE
PHILADELPHIA, PA 19149
Philadelphia County (215) 543-9020
SYDANDI LLC
Case Management
2824 COTTMAN AVE, SUITE 7
PHILADELPHIA, PA 19149
Philadelphia County (215) 273-6704
WAGNER PSYCHOLOGICAL ASSOCIATES
Psychologist (Clinical)
2824 COTTMAN AVE, SUITE 8
PHILADELPHIA, PA 19149
Philadelphia County (215) 331-7707
TINDALL RESOURCE GROUP, INCORPORATED
Case Management
2824 COTTMAN AVE, SUITE 7
PHILADELPHIA, PA 19149
Philadelphia County (215) 273-6704
MR. WILLIAM HENRY STALLINGS JR. RD LDN CSSD
Dietitian, Registered
2824 COTTMAN AVE, SUITE 11
PHILADELPHIA, PA 19149
Philadelphia County (215) 333-6126
DIVERSIFIED SUPPORTIVE SERVICES
Day Training, Developmentally Disabled Services
2824 COTTMAN AVE, SUITE 1
PHILADELPHIA, PA 19149
Philadelphia County (215) 673-2778

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 Mark Wagner's NPI number?

The NPI number for Mark Wagner is 1184647356. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Where is Mark Wagner located?

Mark Wagner practices at 2824 Cottman Ave Suite 8, Philadelphia, PA 19149. The listed phone number is (215) 331-7707.

What is Mark Wagner's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Mark Wagner was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.