DR. MEGAN L. WAGNER PH.D.
NPI 1285082354
Psychologist - Clinical in Los Angeles, CA

Active since May 31, 2016Opted out of Medicare · through Aug 5, 2026
5757 WILSHIRE BLVD STE 439, LOS ANGELES, CA 90036(310) 579-9335 Get Directions Write a Review

NPPES record last updated: November 22, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Megan L. Wagner Ph.d. NPPES

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

DR. MEGAN L. WAGNER PH.D. (NPI 1285082354) is an individual clinical provider in Los Angeles, California, licensed in California (27426) and active in the NPI registry since May 2016. She has opted out of Medicare through August 5, 2026.

NPPES Registry Identity

NPI1285082354
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. MEGAN L. WAGNERCredential: PH.D.
Location Address5757 WILSHIRE BLVD STE 439Los Angeles, CA 90036-3628
Mailing Address5757 Wilshire Blvd Ste 439Los Angeles, CA 90036-3628 · (310) 579-9335
Sole ProprietorYes
Enumeration DateMay 31, 2016
Last NPPES UpdateNovember 22, 2019
NPI 1285082354 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 CA · 27426
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.

5757 WILSHIRE BLVD STE 439, Los Angeles, CA 90036

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Megan L. Wagner Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 5, 2024 through August 5, 2026.

Opt-Out Effective DateAugust 5, 2024
Opt-Out In Effect ThroughAugust 5, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 4

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

Social Worker (Clinical)
5757 WILSHIRE BLVD STE 439
LOS ANGELES, CA 90036
Psychologist (Clinical)
5757 WILSHIRE BLVD STE 439
LOS ANGELES, CA 90036
Psychologist (Counseling)
5757 WILSHIRE BLVD STE 439
LOS ANGELES, CA 90036
Psychologist (Clinical)
5757 WILSHIRE BLVD STE 439
LOS ANGELES, CA 90036

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285082354, enumerated as an "individual" on May 31, 2016.

The provider is located at 5757 WILSHIRE BLVD STE 439 LOS ANGELES, CA 90036 and the phone number is (310) 579-9335.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.