1. Home
  2. Directory
  3. Ohio
  4. Medway
  5. Psychologist
  6. NPI Profile

DR. ALICIA WAGONER PSY.D
NPI 1265922504
Psychologist - Clinical in Medway, OH

Active since May 11, 2018
2675 MEDWAY NEW CARLISLE RD, MEDWAY, OH 45341(937) 856-7066 Get Directions Write a Review

NPPES record last updated: October 27, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 27, 2023, Oct 5, 2022, Dec 6, 2019 and 1 more (4 updates tracked since 2018).

About Dr. Alicia Wagoner Psy.d NPPES

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

DR. ALICIA WAGONER PSY.D (NPI 1265922504) is an individual clinical provider in Medway, Ohio, licensed in Ohio (8397) and active in the NPI registry since May 2018.

NPPES Registry Identity

NPI1265922504
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. ALICIA WAGONERCredential: PSY.D
Location Address2675 MEDWAY NEW CARLISLE RDMedway, OH 45341-9744
Mailing Address2675 Medway New Carlisle RdMedway, OH 45341-9744 · (937) 856-7066
Phone(937) 856-7066
Sole ProprietorYes
Enumeration DateMay 11, 2018
Last NPPES UpdateOctober 27, 20234 updates tracked since enumeration
NPPES CertifiedOctober 27, 2023
✔ NPI 1265922504 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 OH · 8397
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.
2675 MEDWAY NEW CARLISLE RD, Medway, OH 45341
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Other Providers at the Same Location NPPES 5

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

ANGELIA K DUSSIA MA, PCC, CDCA
Counselor (Professional)
2675 MEDWAY NEW CARLISLE RD
MEDWAY, OH 45341
Clark County (937) 849-1257
ANGELIA K DUSSIA DBA ALETHEIA COUNSELING CENTER, LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
2675 MEDWAY NEW CARLISLE RD
MEDWAY, OH 45341
Clark County (937) 849-1257
WAGONER'S PSYCHOLOGICAL SERVICES, LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
2675 MEDWAY NEW CARLISLE RD
MEDWAY, OH 45341
Clark County (937) 856-7066
MR. KENT W FREELAND IMFT,PCC-S,LMFT,LCPC
Marriage & Family Therapist
2675 MEDWAY NEW CARLISLE RD
MEDWAY, OH 45341
Clark County (937) 849-1257
BARBARA L FARRELL I MSW LISW
Counselor (Mental Health)
2675 MEDWAY NEW CARLISLE RD
MEDWAY, OH 45341
Clark County (937) 849-1257

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 Alicia Wagoner's NPI number?

The NPI number for Alicia Wagoner is 1265922504. It was assigned to this individual provider in the NPPES registry on May 11, 2018.

Where is Alicia Wagoner located?

Alicia Wagoner practices at 2675 Medway New Carlisle Rd, Medway, OH 45341. The listed phone number is (937) 856-7066.

What is Alicia Wagoner's specialty?

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

What insurance does Alicia Wagoner accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and MedMutual and 5 other insurers list Alicia Wagoner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Alicia Wagoner was last updated on October 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.