MR. JACOB ARNOLD WAGNER LSP, ED.S
NPI 1497590277
Psychologist - School in Cleveland, TN

Active since June 25, 2024
2292 CHAMBLISS AVE NW STE C2, CLEVELAND, TN 37311(423) 479-5672(423) 479-5679 Get Directions Write a Review

NPPES record last updated: June 25, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Jacob Arnold Wagner Lsp, Ed.s NPPES

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

MR. JACOB ARNOLD WAGNER LSP, ED.S (NPI 1497590277) is an individual school provider in Cleveland, Tennessee, licensed in Tennessee (000748846) and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1497590277
Entity TypeIndividualMale
Primary Taxonomy103TS0200X
Provider Legal NameMR. JACOB ARNOLD WAGNERCredential: LSP, ED.S
Location Address2292 CHAMBLISS AVE NW STE C2Cleveland, TN 37311-3862
Mailing Address2292 Chambliss Ave Nw Ste C2Cleveland, TN 37311-3862 · (423) 479-5672 · Fax (423) 479-5679
Fax(423) 479-5679
Sole ProprietorNo
Enumeration DateJune 25, 2024
NPPES CertifiedMay 22, 2024
NPI 1497590277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologist · SchoolBehavioral Health & Social Service Providers
Taxonomy Code103TS0200X
License Licensed in TN · 000748846
Definition
A psychologist whose specialty is concerned with the science and practice of psychology with children, youth, families; learners of all ages; and the schooling process. The basic education and training of school psychologists prepares them to provide a range of psychological diagnosis, assessment, intervention, prevention, health promotion, and program development and evaluation services with a special focus on the developmental processes of children and youth within the context of schools, families and other systems. School psychologists are prepared to intervene at the individual and system level, and develop, implement, and evaluate preventive programs. In these efforts, they conduct ecologically valid assessments and intervene to promote positive learning environments within which children and youth from diverse backgrounds to ensure that all have equal access to effective educational and psychological services that promote healthy development
Also ListedCounselor · SchoolTaxonomy 101YS0200X
2292 CHAMBLISS AVE NW STE C2, Cleveland, TN 37311

Other Providers at the Same Location NPPES

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

Counselor (Professional)
2292 CHAMBLISS AVE NW STE C2
CLEVELAND, TN 37311

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 Jacob Wagner's NPI number?

The NPI number for Jacob Wagner is 1497590277. It was assigned to this individual provider in the NPPES registry on June 25, 2024.

Where is Jacob Wagner located?

Jacob Wagner practices at 2292 Chambliss Ave NW Ste C2, Cleveland, TN 37311. The listed phone number is (423) 479-5672.

What is Jacob Wagner's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in School, with taxonomy code 103TS0200X.

When was this NPI record last updated?

The NPPES record for Jacob Wagner was last updated on June 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.