Blake Wagner, PH.D

ActiveIndividual ProviderPsychologist
NPI issued: January 18, 2007

Quick Facts

NPI Number
1013069061
TypeIndividual
StatusActive
SpecialtyPsychologist
Taxonomy103T00000X — Psychologist
Phone
(419) 529-9941
StateOH

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1013069061)
✅Active status confirmed
✅Verified by CMS NPPES Registry
✅HIPAA compliant identifier
✅Enumeration date on file (January 18, 2007)
Data source: CMS NPPES

Provider Overview

BLAKE WAGNER, PH.D is a Psychologist provider based in Mansfield, OH who has been registered with CMS since 2007. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1013069061
Provider TypeIndividual Provider
GenderMale
CredentialPH.D
StatusActive
Enumeration DateJanuary 18, 2007

Practice Location

CityMansfield
StateOH
ZIP Code44906-3409
Phone(419) 529-9941

Specialties & Licenses

★ Primary
SpecialtyPsychologist
Taxonomy Code103T00000X
License StateOH

Mailing Address

CityMansfield
StateOH
ZIP Code44906-3409
Phone(419) 529-9941
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1013069061 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1013069061for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1013069061 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Psychologist

Specialists in Psychologist provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

Browse all Psychologistproviders →
📊
57,018
Psychologist Providers in the US

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People Also Ask

What is Blake Wagner's NPI number?
Blake Wagner's NPI number is 1013069061, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Blake Wagner's NPI currently active?
Yes, Blake Wagner's NPI status is Active as of the latest CMS NPPES database updates.
What does Blake Wagner specialize in?
Blake Wagner specializes in Psychologist. The healthcare taxonomy code associated with this specialty is 103T00000X.
Where does Blake Wagner practice?
Blake Wagner practices in Mansfield, OH 44906-3409.
When was Blake Wagner's NPI issued?
Blake Wagner's NPI was issued on January 18, 2007.
What is Blake Wagner's provider type?
Blake Wagner is registered as an Individual Provider under CMS NPI Type 1.