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LORI WAGNER PSY.D.
NPI 1285902387
Clinical Neuropsychologist in Ridgefield, CT

Active since December 05, 2011PECOS EnrolledAccepts Medicare Assignment
109 DANBURY ROAD, LOWER LEVEL, SUITE D6, RIDGEFIELD, CT 06877(203) 494-8468(845) 582-0764 Get Directions Write a Review

NPPES record last updated: May 18, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 18, 2017, Mar 29, 2017 (2 updates tracked since 2017).

About Lori Wagner Psy.d. NPPES

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

LORI WAGNER PSY.D. (NPI 1285902387) is an individual clinical neuropsychologist in Ridgefield, Connecticut, licensed in Connecticut (2706) and active in the NPI registry since December 2011. She is enrolled in Medicare PECOS and is a graduate of Nova Southeastern Univ College Of Dental Medicine (2004).

NPPES Registry Identity

NPI1285902387
Entity TypeIndividualFemale
Primary Taxonomy103G00000X
Provider Legal NameLORI WAGNERCredential: PSY.D.
Location Address109 DANBURY ROAD, LOWER LEVEL, SUITE D6Ridgefield, CT 06877
Mailing Address109 Danbury Road, Lower Level, Suite D6Ridgefield, CT 06877-0687 · (203) 494-8468 · Fax (845) 582-0764
Phone(203) 494-8468
Fax(845) 582-0764
Sole ProprietorNo
Medical School CMSNova Southeastern Univ College Of Dental MedicineGraduated 2004
Enumeration DateDecember 5, 2011
Last NPPES UpdateMay 18, 20172 updates tracked since enumeration
✔ NPI 1285902387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in CT · 2706
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
109 DANBURY ROAD, Ridgefield, CT 06877
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lori Wagner Psy.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5991962813
PECOS Enrollment IDI20120206000174
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
237 services19 patients

Other Providers at the Same Location NPPES

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

MIND BODY SOUL - PSYCHOLOGY AND CONSULTING GROUP LLC
Psychologist (Clinical)
109 DANBURY ROAD, LOWER LEVEL, SUITE D6
RIDGEFIELD, CT 06877
Western Connecticut Planning Region (203) 494-8468

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 Lori Wagner's NPI number?

The NPI number for Lori Wagner is 1285902387. It was assigned to this individual provider in the NPPES registry on December 5, 2011.

Where is Lori Wagner located?

Lori Wagner practices at 109 Danbury Road Lower Level, Suite D6, Ridgefield, CT 06877. The listed phone number is (203) 494-8468.

What is Lori Wagner's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Lori Wagner enrolled in Medicare?

Yes. Lori Wagner is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Lori Wagner accept?

Health plans from Providence Health Plan list Lori Wagner 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 Lori Wagner was last updated on May 18, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.