MR. JEFFREY M WAGNER PHD
NPI 1760521843
Psychologist - Clinical in Portsmouth, NH

Active since February 06, 2007
500 MARKET STREET 1-G, PORTSMOUTH, NH 03801(603) 427-1428(603) 431-5538 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Jeffrey M Wagner Phd NPPES

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

MR. JEFFREY M WAGNER PHD (NPI 1760521843) is an individual clinical provider in Portsmouth, New Hampshire, licensed in New Hampshire (396) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1760521843
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameMR. JEFFREY M WAGNERCredential: PHD
Location Address500 MARKET STREET 1-GPortsmouth, NH 03801
Mailing Address500 Market Street 1-gPortsmouth, NH 03801 · (603) 427-1428 · Fax (603) 431-5538
Fax(603) 431-5538
Sole ProprietorNo
Enumeration DateFebruary 6, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1760521843 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in NH · 396
Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

500 MARKET STREET 1-G, Portsmouth, NH 03801

Other Identifiers 2

Medicaid80000875NH
Medicare ID-Type UnspecifiedRE0875NH

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760521843, enumerated as an "individual" on February 06, 2007.

The provider is located at 500 MARKET STREET 1-G PORTSMOUTH, NH 03801 and the phone number is (603) 427-1428.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.