DR. MATTHEW T. WAGNER CLIN. PSYCHOLOGIST
NPI 1811203417
Psychologist - Clinical in Chowchilla, CA

Q: What is Matthew Wagner's NPI number?

The NPI number for Matthew Wagner is 1811203417. It was assigned to this individual provider in the NPPES registry on August 20, 2010.

Q: What is Matthew 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 Matthew Wagner was last updated on August 20, 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.

Active since August 20, 2010

21633 AVENUE 24, CHOWCHILLA, CA 93610(559) 665-6100 Get Directions Write a Review

NPPES record last updated: August 20, 2010. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Dr. Matthew T. Wagner Clin. Psychologist NPPES

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

DR. MATTHEW T. WAGNER CLIN. PSYCHOLOGIST (NPI 1811203417) is an individual clinical provider in Chowchilla, California, licensed in California (PSY19277) and active in the NPI registry since August 2010.

NPPES Registry Identity

NPI1811203417

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. MATTHEW T. WAGNERCredential: CLIN. PSYCHOLOGIST

Location Address21633 AVENUE 24Chowchilla, CA 93610-9650

Mailing Address21633 Avenue 24Chowchilla, CA 93610-9650 · (559) 655-6100

Phone(559) 665-6100

Sole ProprietorNo

Enumeration DateAugust 20, 2010

✔ NPI 1811203417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · PSY19277

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.

Also ListedPsychologist · FamilyTaxonomy 103TF0000X · License PSY 19277 (CA)

Also ListedPsychologist · ForensicTaxonomy 103TF0200X · License PSY 19277 (CA)

Also ListedPsychologist · Health ServiceTaxonomy 103TH0100X · License PSY 19277 (CA)

Also ListedPsychologist · Group PsychotherapyTaxonomy 103TP2701X · License PSY 19277 (CA)

21633 AVENUE 24, Chowchilla, CA 93610

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Other Providers at the Same Location NPPES 20

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

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