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DR. MARK WAGNER PSY.D.
NPI 1780737924
Psychologist - Clinical in Sudbury, MA

Active since January 19, 2007
23 POKONOKET AVE, SUDBURY, MA 01776(978) 443-6769 Get Directions Write a Review

NPPES record last updated: May 1, 2008. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Mark Wagner Psy.d. NPPES

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

DR. MARK WAGNER PSY.D. (NPI 1780737924) is an individual clinical provider in Sudbury, Massachusetts, licensed in Massachusetts (4472) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1780737924
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. MARK WAGNERCredential: PSY.D.
Location Address23 POKONOKET AVESudbury, MA 01776-2320
Mailing Address23 Pokonoket AveSudbury, MA 01776-2320 · (978) 443-6769
Phone(978) 443-6769
Sole ProprietorYes
Enumeration DateJanuary 19, 2007
Last NPPES UpdateMay 1, 2008
✔ NPI 1780737924 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 MA · 4472
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.
23 POKONOKET AVE, Sudbury, MA 01776
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Other Names 1

Professional Name (2)Dr. John Mark Wagner Psy.d.

Other Identifiers 1

Medicare ID-Type UnspecifiedW04365MA · Bcbs & Medicare Id

Other Providers at the Same Location NPPES

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

DR. MARA SANADI WAGNER PSY.D.
Psychologist (Clinical)
23 POKONOKET AVE
SUDBURY, MA 01776
Middlesex County (978) 443-6769

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 Mark Wagner's NPI number?

The NPI number for Mark Wagner is 1780737924. It was assigned to this individual provider in the NPPES registry on January 19, 2007. The provider is also known as Dr. John Mark Wagner Psy.D..

Where is Mark Wagner located?

Mark Wagner practices at 23 Pokonoket Ave, Sudbury, MA 01776. The listed phone number is (978) 443-6769.

What is Mark 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 Mark Wagner was last updated on May 1, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.