DR. NATHALIE WAGNER PSY.D.
NPI 1306155015
Psychologist - Clinical in Brooklyn, NY
About Dr. Nathalie Wagner Psy.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. NATHALIE WAGNER PSY.D. (NPI 1306155015) is an individual clinical provider in Brooklyn, New York, licensed in New York (018786) and active in the NPI registry since September 2010. She has opted out of Medicare through February 15, 2028 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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. Nathalie Wagner Psy.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 February 15, 2016 through February 15, 2028.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11209 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Nathalie Wagner's NPI number?
The NPI number for Nathalie Wagner is 1306155015. It was assigned to this individual provider in the NPPES registry on September 29, 2010.
Where is Nathalie Wagner located?
Nathalie Wagner practices at 800 Poly Pl, Brooklyn, NY 11209. The listed phone number is (718) 836-6600.
What is Nathalie Wagner's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Nathalie Wagner enrolled in Medicare?
No. Nathalie Wagner has opted out of Medicare through February 15, 2028. 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 Nathalie Wagner was last updated on December 10, 2014. 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.
# Dr. Nathalie Wagner, PSY.D. · NPI 1306155015
Clinical provider in Brooklyn, New York. Individual provider, active in the CMS NPPES registry since September 29, 2010.
## Identity
- **NPI:** 1306155015 (Entity type: Individual)
- **Enumerated:** September 29, 2010
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** 018786 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 800 POLY PL, Brooklyn, NY 11209-7104
- **Phone:** (718) 836-6600
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through February 15, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** December 10, 2014
- **Other identifiers:** Other 018786 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1306155015) · Data from the CMS NPPES public registry.