KEVIN WAGNER PH.D.
NPI 1730973124
Psychologist in Houston, TX

Active since April 08, 2025PECOS Enrolled
1977 BUTLER BLVD STE E4.400, HOUSTON, TX 77030(713) 798-4857 Get Directions Write a Review

NPPES record last updated: July 28, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 2, 2025, Apr 8, 2025 (2 updates tracked since 2025).

About Kevin Wagner Ph.d. NPPES

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

KEVIN WAGNER PH.D. (NPI 1730973124) is an individual psychologist in Houston, Texas, licensed in Texas (40475) and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730973124
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameKEVIN WAGNERCredential: PH.D.
Location Address1977 BUTLER BLVD STE E4.400Houston, TX 77030-4101
Mailing Address1977 Butler BlvdHouston, TX 77030-4101 · (713) 798-3080
Sole ProprietorYes
Enumeration DateApril 8, 2025
Last NPPES UpdateJuly 28, 20252 updates tracked since enumeration
NPPES CertifiedJuly 28, 2025
NPI 1730973124 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 TX · 40475
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 ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 40475 (TX)
1977 BUTLER BLVD STE E4.400, Houston, TX 77030

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kevin Wagner Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 17

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

Psychiatry & Neurology (Psychiatry)
1977 BUTLER BLVD STE E4.400
HOUSTON, TX 77030
Psychiatry & Neurology (Psychiatry)
1977 BUTLER BLVD STE E4.400
HOUSTON, TX 77030
General Acute Care Hospital
1977 BUTLER BLVD STE E4.400
HOUSTON, TX 77030
Psychiatry & Neurology (Psychiatry)
1977 BUTLER BLVD STE E4.400
HOUSTON, TX 77030
Psychiatry & Neurology (Psychiatry)
1977 BUTLER BLVD STE E4.400
HOUSTON, TX 77030
Nurse Practitioner (Psychiatric/Mental Health)
1977 BUTLER BLVD STE E4.400
HOUSTON, TX 77030
Psychologist
1977 BUTLER BLVD STE E4.400
HOUSTON, TX 77030
Psychiatry & Neurology (Psychiatry)
1977 BUTLER BLVD STE E4.400
HOUSTON, TX 77030

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 Kevin Wagner's NPI number?

The NPI number for Kevin Wagner is 1730973124. It was assigned to this individual provider in the NPPES registry on April 8, 2025.

Where is Kevin Wagner located?

Kevin Wagner practices at 1977 Butler Blvd Ste E4.400, Houston, TX 77030. The listed phone number is (713) 798-4857.

What is Kevin Wagner's specialty?

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

Is Kevin Wagner enrolled in Medicare?

Yes. Kevin Wagner is registered in the Medicare PECOS enrollment system.

What insurance does Kevin Wagner accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 4 other insurers list Kevin 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 Kevin Wagner was last updated on July 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.