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JOHN WAGER PHD
NPI 1417168642
Clinical Neuropsychologist in Mountain View, CA

Active since May 28, 2007Opted out of Medicare · through Jan 1, 2027
2485 HOSPITAL DR, SUITE #351, MOUNTAIN VIEW, CA 94040(650) 687-7322(650) 988-7674 Get Directions Write a Review

NPPES record last updated: November 11, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About John Wager Phd NPPES

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

JOHN WAGER PHD (NPI 1417168642) is an individual clinical neuropsychologist in Mountain View, California, licensed in California (23806) and active in the NPI registry since May 2007. He has opted out of Medicare through January 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1417168642
Entity TypeIndividualMale
Primary Taxonomy103G00000X
Provider Legal NameJOHN WAGERCredential: PHD
Location Address2485 HOSPITAL DR, SUITE #351Mountain View, CA 94040-4101
Mailing Address2485 Hospital Dr, Suite #351Mountain View, CA 94040-4101 · (650) 687-7322 · Fax (650) 988-7674
Phone(650) 687-7322
Fax(650) 988-7674
Sole ProprietorYes
Enumeration DateMay 28, 2007
Last NPPES UpdateNovember 11, 2015
✔ NPI 1417168642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in CA · 23806
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.
Also ListedPsychologistTaxonomy 103T00000X · License 23806 (CA)
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 23806 (CA)
Also ListedPsychologist · RehabilitationTaxonomy 103TR0400X · License 23806 (CA)
2485 HOSPITAL DR, Mountain View, CA 94040
Open in Google Maps ↗

Other Identifiers 1

Other46-3467093CA · Tax Identification

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

John Wager Phd 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 January 1, 2017 through January 1, 2027.

Opt-Out Effective DateJanuary 1, 2017
Opt-Out In Effect ThroughJanuary 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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.

DR. JAMES D PALMER MD
Ophthalmology
2485 HOSPITAL DR, ORCHARD PAVILION STE 200
MOUNTAIN VIEW, CA 94040
Santa Clara County (650) 988-7480
JENNIFER FOWLER
Genetic Counselor, MS
2485 HOSPITAL DR, 231
MOUNTAIN VIEW, CA 94040
Santa Clara County (650) 404-8210
DR. MARK R WIELAND MD
Ophthalmology
2485 HOSPITAL DR, SUITE 200
MOUNTAIN VIEW, CA 94040
Santa Clara County (650) 988-7480
BARBARA ANN PHELPS-SANDALL MD
Obstetrics & Gynecology
2485 HOSPITAL DR, SUITE #321
MOUNTAIN VIEW, CA 94040
Santa Clara County (650) 988-7830
IRINA TOKAR L.AC.
Acupuncturist
2485 HOSPITAL DR, SUITE 321
MOUNTAIN VIEW, CA 94040
Santa Clara County (408) 891-4904
ALICE ADAMS CLD
Doula
2485 HOSPITAL DR
MOUNTAIN VIEW, CA 94040
Santa Clara County (510) 435-4462
HEN SHIN WU MD INC
Pediatrics
2485 HOSPITAL DR, #241
MOUNTAIN VIEW, CA 94040
Santa Clara County (650) 988-7666
DAVID L. FRANCISCO MD PHD A PROFESSIONAL CORPORATION
Specialist
2485 HOSPITAL DR, SUITE 321
MOUNTAIN VIEW, CA 94040
Santa Clara County (650) 988-7521

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 John Wager's NPI number?

The NPI number for John Wager is 1417168642. It was assigned to this individual provider in the NPPES registry on May 28, 2007.

Where is John Wager located?

John Wager practices at 2485 Hospital Dr Suite #351, Mountain View, CA 94040. The listed phone number is (650) 687-7322.

What is John Wager's specialty?

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

Is John Wager enrolled in Medicare?

No. John Wager has opted out of Medicare through January 1, 2027. 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 John Wager was last updated on November 11, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.