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NICOLE S WAGNER PH.D.
NPI 1295803476
Psychologist - Clinical in Beachwood, OH

Active since December 04, 2006
29525 CHAGRIN BLVD STE 313, BEACHWOOD, OH 44122(216) 548-5469 Get Directions Write a Review

NPPES record last updated: July 20, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 20, 2022, Jun 26, 2018 (2 updates tracked since 2018).

About Nicole S Wagner Ph.d. NPPES

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

NICOLE S WAGNER PH.D. (NPI 1295803476) is an individual clinical provider in Beachwood, Ohio, licensed in Ohio (6025) and active in the NPI registry since December 2006. She maintains a secondary practice location in Rocky River.

NPPES Registry Identity

NPI1295803476
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameNICOLE S WAGNERCredential: PH.D.
Location Address29525 CHAGRIN BLVD STE 313Beachwood, OH 44122
Mailing Address26047 Byron DrNorth Olmsted, OH 44070-1913 · (216) 548-5469
Phone(216) 548-5469
Sole ProprietorYes
Enumeration DateDecember 4, 2006
Last NPPES UpdateJuly 20, 20222 updates tracked since enumeration
NPPES CertifiedJuly 20, 2022
✔ NPI 1295803476 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 · 6025
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.
29525 CHAGRIN BLVD STE 313, Beachwood, OH 44122
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Secondary Practice Location 1

Location 120325 Center Ridge Rd, Suite 612Rocky River, OH 44116-3572 · Phone (216) 548-5469

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 Nicole Wagner's NPI number?

The NPI number for Nicole Wagner is 1295803476. It was assigned to this individual provider in the NPPES registry on December 4, 2006.

Where is Nicole Wagner located?

Nicole Wagner practices at 29525 Chagrin Blvd Ste 313, Beachwood, OH 44122. The listed phone number is (216) 548-5469.

What is Nicole 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 Nicole Wagner was last updated on July 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.