MARK T WAGNER PHD
NPI 1346277142
Psychologist in Charleston, SC

Active since June 27, 2006PECOS EnrolledAccepts Medicare Assignment
171 ASHLEY AVE, CHARLESTON, SC 29425(843) 792-1414 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mark T Wagner Phd NPPES

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

MARK T WAGNER PHD (NPI 1346277142) is an individual psychologist in Charleston, South Carolina, licensed in South Carolina (536) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Musc Medical Center, and is a graduate of Other (1985).

NPPES Registry Identity

NPI1346277142
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameMARK T WAGNERCredential: PHD
Location Address171 ASHLEY AVECharleston, SC 29425-0001
Mailing AddressPo Box 751461Charlotte, NC 28275-1461 · (843) 792-6200
Sole ProprietorNo
Medical School CMSOtherGraduated 1985
Enumeration DateJune 27, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1346277142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in SC · 536
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.
171 ASHLEY AVE, Charleston, SC 29425

Other Identifiers 2

MedicaidPS0135SC
Medicare UPINQ27952SC

Accepted 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

Mark T Wagner Phd 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 ID9335247154
PECOS Enrollment IDI20070601000379
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 5

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.

Evaluation of neuropsychological test, each additional hour 96133
This service involves further evaluation of your neuropsychological test results beyond the initial hour. It helps to understand your cognitive functioning better, focusing on areas like memory, attention, and problem-solving skills.
86 services81 patients
Evaluation of neuropsychological test, first hour 96132
An evaluation of neuropsychological tests is a process to assess your brain's function. It involves tasks designed to measure cognitive abilities such as memory, attention, problem-solving, and language skills. The first hour involves initial testing and observation.
85 services84 patients
Administration of psychological or neuropsychological test, first 30 minutes 96136
This procedure involves a health professional conducting a psychological or neuropsychological test. The first 30 minutes typically involve understanding your mental health or brain function through various assessments. This helps in diagnosing and treating mental health disorders effectively.
83 services82 patients
Administration of psychological or neuropsychological test, each additional 30 minutes 96137
This procedure involves administering psychological or neuropsychological tests to evaluate your mental functions. Each additional 30 minutes allows for a more in-depth assessment of your cognitive abilities, emotions, and behavior. It's crucial for accurate diagnosis and treatment planning.
74 services40 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
72 services71 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Musc Medical Center

Acute Care Hospitals · Charleston, SC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420004
Location169 Ashley AveCharleston, SC 29425 · Charleston County
Emergency services Birthing friendly

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.

Allergy & Immunology
171 ASHLEY AVE
CHARLESTON, SC 29425
Nurse Anesthetist, Certified Registered
171 ASHLEY AVE
CHARLESTON, SC 29425
Pathology (Anatomic Pathology)
171 ASHLEY AVE
CHARLESTON, SC 29425
Ophthalmology
171 ASHLEY AVE
CHARLESTON, SC 29425
Social Worker
171 ASHLEY AVE
CHARLESTON, SC 29425
Radiology (Pediatric Radiology)
171 ASHLEY AVE
CHARLESTON, SC 29425
Nurse Practitioner
171 ASHLEY AVE
CHARLESTON, SC 29425
Ophthalmology
171 ASHLEY AVE
CHARLESTON, SC 29425

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 Mark Wagner's NPI number?

The NPI number for Mark Wagner is 1346277142. It was assigned to this individual provider in the NPPES registry on June 27, 2006.

Where is Mark Wagner located?

Mark Wagner practices at 171 Ashley Ave, Charleston, SC 29425. The listed phone number is (843) 792-1414.

What is Mark Wagner's specialty?

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

Is Mark Wagner enrolled in Medicare?

Yes. Mark 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 Mark Wagner accept?

Health plans from BlueCross BlueShield of South Carolina, First Choice Next and Molina Healthcare list Mark 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.

Is Mark Wagner affiliated with any hospitals?

According to CMS data, Mark Wagner is affiliated with Musc Medical Center.

When was this NPI record last updated?

The NPPES record for Mark Wagner was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.