1. Home
  2. Directory
  3. Massachusetts
  4. Sudbury
  5. Psychologist
  6. NPI Profile

DR. MARA SANADI WAGNER PSY.D.
NPI 1245455138
Psychologist - Clinical in Sudbury, MA

Active since April 16, 2007
23 POKONOKET AVE, SUDBURY, MA 01776(978) 443-6769(978) 440-9914 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mara Sanadi Wagner Psy.d. NPPES

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

DR. MARA SANADI WAGNER PSY.D. (NPI 1245455138) is an individual clinical provider in Sudbury, Massachusetts, licensed in Massachusetts (4122) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1245455138
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. MARA SANADI WAGNERCredential: PSY.D.
Location Address23 POKONOKET AVESudbury, MA 01776-2320
Mailing Address23 Pokonoket AveSudbury, MA 01776-2320 · (978) 443-6769 · Fax (978) 440-9914
Phone(978) 443-6769
Fax(978) 440-9914
Sole ProprietorYes
Enumeration DateApril 16, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1245455138 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 MA · 4122
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.
23 POKONOKET AVE, Sudbury, MA 01776
Open in Google Maps ↗

Other Identifiers 1

Medicare ID-Type UnspecifiedW04034MA · Bcbsma

Other Providers at the Same Location NPPES

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

DR. MARK WAGNER PSY.D.
Psychologist (Clinical)
23 POKONOKET AVE
SUDBURY, MA 01776
Middlesex County (978) 443-6769

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 Mara Wagner's NPI number?

The NPI number for Mara Wagner is 1245455138. It was assigned to this individual provider in the NPPES registry on April 16, 2007.

Where is Mara Wagner located?

Mara Wagner practices at 23 Pokonoket Ave, Sudbury, MA 01776. The listed phone number is (978) 443-6769.

What is Mara 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 Mara Wagner was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.