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

Q: What is Jeffrey Wagner's NPI number?

The NPI number for Jeffrey Wagner is 1760521843. It was assigned to this individual provider in the NPPES registry on February 6, 2007.

Q: What is Jeffrey Wagner's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Jeffrey Wagner was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

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: August 16, 2026.

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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

Phone(603) 427-1428

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

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Other Identifiers 2

Medicaid80000875NH

Medicare ID-Type UnspecifiedRE0875NH

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 Jeffrey Wagner's NPI number?

The NPI number for Jeffrey Wagner is 1760521843. It was assigned to this individual provider in the NPPES registry on February 6, 2007.

Where is Jeffrey Wagner located?

Jeffrey Wagner practices at 500 Market Street 1-G, Portsmouth, NH 03801. The listed phone number is (603) 427-1428.

What is Jeffrey Wagner's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Jeffrey Wagner was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.