WAGAMAN ENTERPRISES INC
NPI 1740461854
Psychologist in Olympia, WA

Active since November 16, 2007
2100 CATON WAY SW, OLYMPIA, WA 98502(360) 866-7406(360) 570-3325 Get Directions Write a Review

NPPES record last updated: January 25, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Wagaman Enterprises Inc NPPES

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

WAGAMAN ENTERPRISES INC (NPI 1740461854) is a healthcare organization registered as a psychologist in Olympia, Washington and active in the NPI registry since November 2007. The organization lists Jeffrey Daniel Wagaman, Owner/ President, as its authorized official.

NPPES Registry Identity

NPI1740461854
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameWAGAMAN ENTERPRISES INC
Location Address2100 CATON WAY SWOlympia, WA 98502-1105
Mailing Address2100 Caton Way SwOlympia, WA 98502-1105 · (360) 866-7406 · Fax (360) 570-3325
Fax(360) 570-3325
Organization SubpartNo
Authorized OfficialJeffrey Daniel WagamanOwner/ President · (360) 866-7406
Enumeration DateNovember 16, 2007
Last NPPES UpdateJanuary 25, 2010
✔ NPI 1740461854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in WA · PY 1722
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.
2100 CATON WAY SW, Olympia, WA 98502

Other Identifiers 1

Medicare UPIN115000170WA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wagaman Enterprises Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Wagaman Enterprises Inc, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 7 within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Nurse Practitioner
NPI 1013435882
2100 CATON WAY SW
Olympia, WA 98502
(360) 866-7406
✔ PECOS✔ Accepts MedicareSame address
Marriage and Family Therapist
NPI 1467822528
2100 CATON WAY SW
Olympia, WA 98502
(360) 866-7406
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1447377221
2100 CATON WAY SW
Olympia, WA 98502
(360) 866-7406
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1902157050
2100 CATON WAY SW
Olympia, WA 98502
(360) 866-7406
✔ PECOSSame address
Nurse Practitioner
NPI 1306188032
413 LILLY RD NE PMG SW WA OLYMPIA PSYCHIATRY
Olympia, WA 98506
(360) 493-7060
✔ PECOS✔ Accepts Medicare4.0 mi
Clinical Social Worker
NPI 1952576522
700 LILLY RD NE
Olympia, WA 98506
(360) 923-7000
✔ PECOS✔ Accepts Medicare4.3 mi
Clinical Psychologist
NPI 1548823917
5120 NUTHATCH CT NE
Lacey, WA 98516
(360) 890-0694
✔ PECOS✔ Accepts Medicare8.7 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Wagaman Enterprises Inc's NPI number?

The NPI number for Wagaman Enterprises Inc is 1740461854. It was assigned to this organization in the NPPES registry on November 16, 2007.

Where is Wagaman Enterprises Inc located?

Wagaman Enterprises Inc is located at 2100 Caton Way SW, Olympia, WA 98502. The listed phone number is (360) 866-7406.

What is Wagaman Enterprises Inc's specialty?

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

Is Wagaman Enterprises Inc enrolled in Medicare?

Yes. Wagaman Enterprises Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wagaman Enterprises Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians reassign their Medicare billing to Wagaman Enterprises Inc, in Clinical Psychologist, Clinical Social Worker, Marriage and Family Therapist, Mental Health Counselor and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 4 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Wagaman Enterprises Inc accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Wagaman Enterprises Inc 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 Wagaman Enterprises Inc was last updated on January 25, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.