1. Home
  2. Directory
  3. California
  4. Temecula
  5. Clinical Neuropsychologist
  6. NPI Profile

KRISTINE TIFFANY WAGNER PH.D.
NPI 1902837255
Clinical Neuropsychologist in Temecula, CA

Active since July 05, 2006
27393 YNEZ RD, SUITE 153, TEMECULA, CA 92591(951) 695-7400(951) 695-7144 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kristine Tiffany Wagner Ph.d. NPPES

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

KRISTINE TIFFANY WAGNER PH.D. (NPI 1902837255) is an individual clinical neuropsychologist in Temecula, California, licensed in California (PSY18320) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1902837255
Entity TypeIndividualFemale
Primary Taxonomy103G00000X
Provider Legal NameKRISTINE TIFFANY WAGNERCredential: PH.D.
Location Address27393 YNEZ RD, SUITE 153Temecula, CA 92591-5604
Mailing AddressPo Box 892143Temecula, CA 92589-2143 · (951) 695-7400 · Fax (951) 695-7144
Phone(951) 695-7400
Fax(951) 695-7144
Sole ProprietorNo
Enumeration DateJuly 5, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1902837255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in CA · PSY18320
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
27393 YNEZ RD, Temecula, CA 92591
Open in Google Maps ↗

Other Identifiers 5

Medicare ID-Type UnspecifiedWCP18320A
Medicare UPINP60902
Medicare ID-Type UnspecifiedW18386So. Cal Provider Number
Medicare ID-Type Unspecified0PL183200
Medicare ID-Type UnspecifiedZZZ01448ZNo. Cal Group Id No.

Other Providers at the Same Location NPPES 6

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

MR. CHRIS HOUGHTON
Counselor (Professional)
27393 YNEZ RD, SUITE 154
TEMECULA, CA 92591
Riverside County (951) 695-7655
SUMMIT HOME HEALTH SYSTEMS
Home Health
27393 YNEZ RD, SUITE 261
TEMECULA, CA 92591
Riverside County (951) 206-6914
KRISTINE T. WAGNER, PH.D, INC.
Psychologist (Clinical)
27393 YNEZ RD, SUITE 153
TEMECULA, CA 92591
Riverside County (951) 695-7400
CATHERINE M BISSON M.A., MFT
Marriage & Family Therapist
27393 YNEZ RD, SUITE 151
TEMECULA, CA 92591
Riverside County (951) 695-3337
TINA MARIE GOTTLIEB D.C.
Chiropractor
27393 YNEZ RD, SUITE 162
TEMECULA, CA 92591
Riverside County (951) 699-5161
RICHARD J BISSON M.DIV,M.A., MFC
Marriage & Family Therapist
27393 YNEZ RD, SUITE 151
TEMECULA, CA 92591
Riverside County (951) 695-3337

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 Kristine Wagner's NPI number?

The NPI number for Kristine Wagner is 1902837255. It was assigned to this individual provider in the NPPES registry on July 5, 2006.

Where is Kristine Wagner located?

Kristine Wagner practices at 27393 Ynez Rd Suite 153, Temecula, CA 92591. The listed phone number is (951) 695-7400.

What is Kristine Wagner's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

When was this NPI record last updated?

The NPPES record for Kristine 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.