BARRY MICHAEL WAGNER PH.D.
NPI 1285652842
Psychologist in Washington, DC

Active since July 18, 2006Opted out of Medicare · through Jan 1, 2027
5225 WISCONSIN AVE NW, SUITE 513, WASHINGTON, DC 20015(202) 505-1530(703) 485-4535 Get Directions Write a Review

NPPES record last updated: July 30, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Barry Michael Wagner Ph.d. NPPES

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

BARRY MICHAEL WAGNER PH.D. (NPI 1285652842) is an individual psychologist in Washington, District Of Columbia, licensed in District Of Columbia (PSY1000762) and active in the NPI registry since July 2006. He has opted out of Medicare through January 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1285652842
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameBARRY MICHAEL WAGNERCredential: PH.D.
Location Address5225 WISCONSIN AVE NW, SUITE 513Washington, DC 20015-2014
Mailing Address5225 Wisconsin Ave Nw, Suite 513Washington, DC 20015-2014 · (202) 505-1530 · Fax (703) 485-4535
Fax(703) 485-4535
Sole ProprietorYes
Enumeration DateJuly 18, 2006
Last NPPES UpdateJuly 30, 2015
NPI 1285652842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Licenses Licensed in DC · PSY1000762 Licensed in VA · 0810-002503
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
5225 WISCONSIN AVE NW, Washington, DC 20015

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Barry Michael 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 January 1, 2019 through January 1, 2027.

Opt-Out Effective DateJanuary 1, 2019
Opt-Out In Effect ThroughJanuary 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 20

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

Social Worker (Clinical)
5225 WISCONSIN AVE NW, SUITE 513
WASHINGTON, DC 20015
Dentist
5225 WISCONSIN AVE NW, SUITE 309
WASHINGTON, DC 20015
Dental Hygienist
5225 WISCONSIN AVE NW, SUITE 401
WASHINGTON, DC 20015
Dentist (Pediatric Dentistry)
5225 WISCONSIN AVE NW, SUITE 604
WASHINGTON, DC 20015
Psychiatry & Neurology (Child & Adolescent Psychiatry)
5225 WISCONSIN AVE NW, STE 400
WASHINGTON, DC 20015
Psychologist (Forensic)
5225 WISCONSIN AVE NW, SUITE 513
WASHINGTON, DC 20015
Psychologist
5225 WISCONSIN AVE NW
WASHINGTON, DC 20015
Psychiatry & Neurology (Psychiatry)
5225 WISCONSIN AVE NW
WASHINGTON, DC 20015

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 Barry Wagner's NPI number?

The NPI number for Barry Wagner is 1285652842. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Where is Barry Wagner located?

Barry Wagner practices at 5225 Wisconsin Ave NW Suite 513, Washington, DC 20015. The listed phone number is (202) 505-1530.

What is Barry Wagner's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Barry Wagner enrolled in Medicare?

No. Barry Wagner has opted out of Medicare through January 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Barry Wagner was last updated on July 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.