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REBECCA WAGNER PH.D.
NPI 1407900632
Psychologist - Clinical in Colorado Springs, CO

Active since January 23, 2007
1259 LAKE PLAZA DR STE 255, COLORADO SPRINGS, CO 80906(719) 598-3585 Get Directions Write a Review

NPPES record last updated: July 10, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Rebecca Wagner Ph.d. NPPES

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

REBECCA WAGNER PH.D. (NPI 1407900632) is an individual clinical provider in Colorado Springs, Colorado, licensed in Colorado (PSY.0005316) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1407900632
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameREBECCA WAGNERCredential: PH.D.
Location Address1259 LAKE PLAZA DR STE 255Colorado Springs, CO 80906-3504
Mailing Address1259 Lake Plaza Dr Ste 255Colorado Springs, CO 80906-3504 · (719) 598-3585
Phone(719) 598-3585
Sole ProprietorNo
Enumeration DateJanuary 23, 2007
Last NPPES UpdateJuly 10, 2023
NPPES CertifiedJuly 10, 2023
✔ NPI 1407900632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CO · PSY.0005316
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.
Also ListedClinical NeuropsychologistTaxonomy 103G00000X · License 1139 (SC)
1259 LAKE PLAZA DR STE 255, Colorado Springs, CO 80906
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Other Names 1

Former Name (1)Rebecca Iannuzzo Ph.d.

Other Identifiers 1

MedicaidPS0478SC

Other Providers at the Same Location NPPES 11

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

CLINTON PICKETT
Psychologist (Clinical)
1259 LAKE PLAZA DR STE 255
COLORADO SPRINGS, CO 80906
El Paso County (832) 509-7564
ABRAHAM SPIES
Psychologist
1259 LAKE PLAZA DR STE 255
COLORADO SPRINGS, CO 80906
El Paso County (719) 598-3585
CHRISTOPHER COSTANZA PSYD
Clinical Neuropsychologist
1259 LAKE PLAZA DR STE 255
COLORADO SPRINGS, CO 80906
El Paso County (719) 598-3585
KEVIN LOWREY NP
Nurse Practitioner (Psychiatric/Mental Health)
1259 LAKE PLAZA DR STE 255
COLORADO SPRINGS, CO 80906
El Paso County (719) 598-3585
SARAH SELF
Counselor (Professional)
1259 LAKE PLAZA DR STE 255
COLORADO SPRINGS, CO 80906
El Paso County (719) 598-3585
AMY E DENDINGER ARNP
Nurse Practitioner (Psychiatric/Mental Health)
1259 LAKE PLAZA DR STE 255
COLORADO SPRINGS, CO 80906
El Paso County (719) 598-3585
ANGELINA MARIA JOHNSON PSY.D., LP
Psychologist (Clinical)
1259 LAKE PLAZA DR STE 255
COLORADO SPRINGS, CO 80906
El Paso County (719) 598-3585
TRISHA JEFFERS PHD
Psychologist
1259 LAKE PLAZA DR STE 255
COLORADO SPRINGS, CO 80906
El Paso County (719) 598-3585

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 Rebecca Wagner's NPI number?

The NPI number for Rebecca Wagner is 1407900632. It was assigned to this individual provider in the NPPES registry on January 23, 2007. The provider is also known as Rebecca Iannuzzo Ph.D..

Where is Rebecca Wagner located?

Rebecca Wagner practices at 1259 Lake Plaza Dr Ste 255, Colorado Springs, CO 80906. The listed phone number is (719) 598-3585.

What is Rebecca 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 Rebecca Wagner was last updated on July 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.