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MR. WYLIE JAMES BAGLEY PHD
NPI 1487666186
Marriage & Family Therapist in San Andreas, CA

Active since August 12, 2006
3585 HAWVER RD., SAN ANDREAS, CA 95249(209) 754-1249 Get Directions Write a Review

NPPES record last updated: May 24, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Wylie James Bagley Phd NPPES

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

MR. WYLIE JAMES BAGLEY PHD (NPI 1487666186) is an individual marriage & family therapist in San Andreas, California, licensed in California (122872) and active in the NPI registry since August 2006. He maintains a secondary practice location in Ruston.

NPPES Registry Identity

NPI1487666186
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameMR. WYLIE JAMES BAGLEYCredential: PHD
Location Address3585 HAWVER RD.San Andreas, CA 95249
Mailing Address3055 Floyd Ave Apt J145Modesto, CA 95355-7927 · (318) 791-1555
Phone(209) 754-1249
Sole ProprietorNo
Enumeration DateAugust 12, 2006
Last NPPES UpdateMay 24, 2021
NPPES CertifiedApril 27, 2021
✔ NPI 1487666186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Licenses✔ Licensed in CA · 122872✔ Licensed in LA · 1016
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
3585 HAWVER RD., San Andreas, CA 95249
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Secondary Practice Location 1

Location 1902 DeVille LnRuston, LA 71270-6313 · Phone (318) 255-5753

Other Providers at the Same Location NPPES 3

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

PAUL MERTENS
Case Manager/Care Coordinator
3585 HAWVER RD.
SAN ANDREAS, CA 95249
Calaveras County (209) 754-1249
KIRSTIE WICHTENDAHL LPT
Licensed Psychiatric Technician
3585 HAWVER RD.
SAN ANDREAS, CA 95249
Calaveras County (209) 754-1249
OAKENDELL CORPORATION
Residential Treatment Facility, Emotionally Disturbed Children
3585 HAWVER RD.
SAN ANDREAS, CA 95249
Calaveras County (209) 754-1249

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 Wylie Bagley's NPI number?

The NPI number for Wylie Bagley is 1487666186. It was assigned to this individual provider in the NPPES registry on August 12, 2006.

Where is Wylie Bagley located?

Wylie Bagley practices at 3585 Hawver Rd., San Andreas, CA 95249. The listed phone number is (209) 754-1249.

What is Wylie Bagley's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

When was this NPI record last updated?

The NPPES record for Wylie Bagley was last updated on May 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.