ANDREA M WAGNER PSYCHOLOGIST PC
NPI 1770314270
Clinic/Center - Adult Mental Health in Newport Beach, CA

Active since August 08, 2024
456 OLD NEWPORT BLVD, NEWPORT BEACH, CA 92663(949) 447-8257(949) 203-6158 Get Directions Write a Review

NPPES record last updated: May 21, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 21, 2026, May 12, 2026, May 9, 2026 and 4 more (7 updates tracked since 2024).

About Andrea M Wagner Psychologist Pc NPPES

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

ANDREA M WAGNER PSYCHOLOGIST PC (NPI 1770314270), doing business as Redeemed Mental Health, is a healthcare organization registered as an adult mental health in Newport Beach, California and active in the NPI registry since August 2024. The organization maintains a secondary practice location in Danbury and lists Andrea Marie Wagner, Owner, as its authorized official.

NPPES Registry Identity

NPI1770314270
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameANDREA M WAGNER PSYCHOLOGIST PC
Location Address456 OLD NEWPORT BLVDNewport Beach, CA 92663-4211
Mailing Address456 Old Newport BlvdNewport Beach, CA 92663-4211 · (949) 447-8257 · Fax (949) 209-0357
Fax(949) 203-6158
Organization SubpartYes
Authorized OfficialAndrea Marie WagnerOwner · (949) 447-8257
Enumeration DateAugust 8, 2024
Last NPPES UpdateMay 21, 20267 updates tracked since enumeration
NPPES CertifiedMay 21, 2026
NPI 1770314270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Also ListedPsychologistTaxonomy 103T00000X
456 OLD NEWPORT BLVD, Newport Beach, CA 92663

Other Names 1

Doing Business AsRedeemed Mental Health

Secondary Practice Location 1

Location 1108 Forty Acre Mountain RdDanbury, CT 06811-3373 · Phone (949) 782-2254 · Fax (949) 203-6158

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

Marriage & Family Therapist
456 OLD NEWPORT BLVD
NEWPORT BEACH, CA 92663
Social Worker
456 OLD NEWPORT BLVD
NEWPORT BEACH, CA 92663
Psychologist (Addiction (Substance Use Disorder))
456 OLD NEWPORT BLVD
NEWPORT BEACH, CA 92663
Clinic/Center (Adult Mental Health)
456 OLD NEWPORT BLVD
NEWPORT BEACH, CA 92663

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 Andrea M Wagner Psychologist PC's NPI number?

The NPI number for Andrea M Wagner Psychologist PC is 1770314270. It was assigned to this organization in the NPPES registry on August 8, 2024. The provider is doing business as Redeemed Mental Health.

Where is Andrea M Wagner Psychologist PC located?

Andrea M Wagner Psychologist PC is located at 456 Old Newport Blvd, Newport Beach, CA 92663. The listed phone number is (949) 447-8257.

What is Andrea M Wagner Psychologist PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Andrea M Wagner Psychologist PC was last updated on May 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.