KEELY LOUISE WAGNER LLP, MS
NPI 1518564657
Psychologist in Clarkston, MI

Active since October 01, 2020
7640 DIXIE HWY STE 155, CLARKSTON, MI 48346(248) 791-9266 Get Directions Write a Review

NPPES record last updated: September 4, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 4, 2024, Oct 1, 2020 (2 updates tracked since 2020).

About Keely Louise Wagner Llp, Ms NPPES

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

KEELY LOUISE WAGNER LLP, MS (NPI 1518564657) is an individual psychologist in Clarkston, Michigan, licensed in Michigan (6361007929) and active in the NPI registry since October 2020. She maintains a secondary practice location in Northville.

NPPES Registry Identity

NPI1518564657
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameKEELY LOUISE WAGNERCredential: LLP, MS
Location Address7640 DIXIE HWY STE 155Clarkston, MI 48346-2095
Mailing Address2790 International Dr Apt 534cYpsilanti, MI 48197-8527
Sole ProprietorNo
Enumeration DateOctober 1, 2020
Last NPPES UpdateSeptember 4, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2024
NPI 1518564657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MI · 6361007929
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 6362009086 (MI)
7640 DIXIE HWY STE 155, Clarkston, MI 48346

Secondary Practice Location 1

Location 1315 N Center StNorthville, MI 48167-1277 · Phone (234) 759-7191

Accepted Insurance

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.

Counselor (Professional)
7640 DIXIE HWY STE 155
CLARKSTON, MI 48346
Social Worker (Clinical)
7640 DIXIE HWY STE 155
CLARKSTON, MI 48346
Social Worker (Clinical)
7640 DIXIE HWY STE 155
CLARKSTON, MI 48346
Counselor (Mental Health)
7640 DIXIE HWY STE 155
CLARKSTON, MI 48346
Social Worker (Clinical)
7640 DIXIE HWY STE 155
CLARKSTON, MI 48346
Counselor (Professional)
7640 DIXIE HWY STE 155
CLARKSTON, MI 48346
Counselor (Professional)
7640 DIXIE HWY STE 155
CLARKSTON, MI 48346
Social Worker (Clinical)
7640 DIXIE HWY STE 155
CLARKSTON, MI 48346

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 Keely Wagner's NPI number?

The NPI number for Keely Wagner is 1518564657. It was assigned to this individual provider in the NPPES registry on October 1, 2020.

Where is Keely Wagner located?

Keely Wagner practices at 7640 Dixie Hwy Ste 155, Clarkston, MI 48346. The listed phone number is (248) 791-9266.

What is Keely Wagner's specialty?

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

What insurance does Keely Wagner accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community, Oscar Insurance Company and Priority Health and 1 other insurer list Keely 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.

When was this NPI record last updated?

The NPPES record for Keely Wagner was last updated on September 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.