WAGNER PSYCHOLOGICAL ASSOCIATES
NPI 1588628903
Psychologist - Clinical in Philadelphia, PA

NPI Status: Active since April 13, 2006

Contact Information

2824 COTTMAN AVE
SUITE 8
PHILADELPHIA, PA
ZIP 19149
Phone: (215) 331-7707
Fax: (215) 331-7790

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  • Organization
  • Psychologist
  • Clinical

About WAGNER PSYCHOLOGICAL ASSOCIATES

This page provides the complete NPI Profile along with additional information for Wagner Psychological Associates, a provider established in Philadelphia, Pennsylvania operating as a Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1588628903 assigned on April 2006. The practitioner's primary taxonomy code is 103TC0700X with license number PS-003973-L (PA). The provider is registered as an organization and their NPI record was last updated 5 years ago. Wagner Psychological Associates operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Dr. Mark S. Wagner Ph.d. (Director)

NPI
1588628903
Provider Name
WAGNER PSYCHOLOGICAL ASSOCIATES
Entity Type
Organization
Location Address
2824 COTTMAN AVE SUITE 8 PHILADELPHIA, PA 19149
Location Phone
(215) 331-7707
Location Fax
(215) 331-7790
Mailing Address
2824 COTTMAN AVE SUITE 8 PHILADELPHIA, PA 19149
Mailing Phone
(215) 331-7707
Mailing Fax
(215) 331-7790
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-13-2006
Last Update Date
08-22-2020
Code Navigator

A clinical psychologist like Wagner Psychological Associates assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist Clinical

Taxonomy Code
103TC0700X
Type
Behavioral Health & Social Service Providers
License No.
PS-003973-L
License State
PA
Taxonomy Description
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.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. MARK S. WAGNER PH.D.

Authorized Official Title
DIRECTOR
Authorized Official Phone
(215) 331-7707

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1588628903
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
251681221690
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 6 + 8 + 1 + 2 + 2 + 1 + 6 + 9 + 0 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1588628903 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1356364582MR. ALAN B. MARKOWITZ M..A.
Individual
Counselor (Professional)2824 COTTMAN AVE SUITE 8
PHILADELPHIA, PA 19149
(215) 331-7707
1184647356DR. MARK S. WAGNER PH.D.
Individual
Psychologist (Clinical)2824 COTTMAN AVE SUITE 8
PHILADELPHIA, PA 19149
(215) 331-7707
1437297116CO-MHAR INC.
Organization
Home Health2824 COTTMAN AVE
PHILADELPHIA, PA 19149
(215) 543-9020
1942461579DIVERSIFIED SUPPORTIVE SERVICES
Organization
Day Training, Developmentally Disabled Services2824 COTTMAN AVE SUITE 1
PHILADELPHIA, PA 19149
(215) 673-2778
1780797563MR. WILLIAM HENRY STALLINGS JR. RD LDN CSSD
Individual
Dietitian, Registered2824 COTTMAN AVE SUITE 11
PHILADELPHIA, PA 19149
(215) 333-6126
1588931943TINDALL RESOURCE GROUP, INCORPORATED
Organization
Case Management2824 COTTMAN AVE SUITE 7
PHILADELPHIA, PA 19149
(215) 273-6704
1497297972SYDANDI LLC
Organization
Case Management2824 COTTMAN AVE SUITE 7
PHILADELPHIA, PA 19149
(215) 273-6704

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1588628903, enumerated in the NPI registry as an "organization" on April 13, 2006

The provider is located at 2824 Cottman Ave Suite 8 Philadelphia, Pa 19149 and the phone number is (215) 331-7707

This medical organization specializes in Psychologist with taxonomy code 103TC0700X with a focus in Clinical

This NPI record was last updated on April 13, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.