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DR. DESTINY M WAGGONER PH.D.
NPI 1235582727
Psychologist - Clinical in Albuquerque, NM

Active since July 20, 2016PECOS Enrolled
306 SAN PABLO ST SE, ALBUQUERQUE, NM 87108(505) 272-0415 Get Directions Write a Review

NPPES record last updated: July 5, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 5, 2023, Oct 14, 2019, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Dr. Destiny M Waggoner Ph.d. NPPES

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

DR. DESTINY M WAGGONER PH.D. (NPI 1235582727) is an individual clinical provider in Albuquerque, New Mexico, licensed in New Mexico (PSY1566) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235582727
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. DESTINY M WAGGONERCredential: PH.D.
Location Address306 SAN PABLO ST SEAlbuquerque, NM 87108
Mailing Address306 San Pablo St SeAlbuquerque, NM 87108-3167 · (505) 272-0415
Phone(505) 272-0415
Sole ProprietorNo
Enumeration DateJuly 20, 2016
Last NPPES UpdateJuly 5, 20234 updates tracked since enumeration
NPPES CertifiedJuly 5, 2023
✔ NPI 1235582727 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 NM · PSY1566
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.
306 SAN PABLO ST SE, Albuquerque, NM 87108
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Destiny M Waggoner Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87108 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$166.80 typical visit price
range $54.26 – $166.80
Typical copayment $41.70 (range $13.56 – $41.70)
Most-billed visit code 99205
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

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

EDITH MOON
Nurse Practitioner (Family)
306 SAN PABLO ST SE
ALBUQUERQUE, NM 87108
Bernalillo County (505) 272-9242
BEATRICE ELAINE VILLEGAS LCSW
Social Worker (Clinical)
306 SAN PABLO ST SE
ALBUQUERQUE, NM 87108
Bernalillo County (505) 453-2744
CLAUDIA IVONNE RODRIGUEZ
Social Worker (Clinical)
306 SAN PABLO ST SE
ALBUQUERQUE, NM 87108
Bernalillo County (505) 272-9379
MARLENE ROCIO ESPINOZA BARBOZA
Counselor (Mental Health)
306 SAN PABLO ST SE
ALBUQUERQUE, NM 87108
Bernalillo County (505) 710-8728
MR. SHERWIN HOAGSTROM LCSW
Social Worker (Clinical)
306 SAN PABLO ST SE
ALBUQUERQUE, NM 87108
Bernalillo County (505) 385-5982
MR. JOHN R BUCHAN LISW
Social Worker (Clinical)
306 SAN PABLO ST SE
ALBUQUERQUE, NM 87108
Bernalillo County (505) 272-9379

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 Destiny Waggoner's NPI number?

The NPI number for Destiny Waggoner is 1235582727. It was assigned to this individual provider in the NPPES registry on July 20, 2016.

Where is Destiny Waggoner located?

Destiny Waggoner practices at 306 San Pablo St SE, Albuquerque, NM 87108. The listed phone number is (505) 272-0415.

What is Destiny Waggoner's specialty?

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

Is Destiny Waggoner enrolled in Medicare?

Yes. Destiny Waggoner is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Destiny Waggoner was last updated on July 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.