Dr. Blake Douglas Wagner Jr. is a Mansfield, Ohio based psychologist with 36 years of experience in General Psychology. He completed his graduation in 1988. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Blake Douglas Wagner Jr. is I-4127 for General Psychology in Ohio. His current practice location is 1575 Marion Ave, Mansfield. Patients can reach him at 419-529-9941 or can fax him at 419-529-0496. Dr. Blake Douglas Wagner Jr. is PH.D. in General Psychology and his NPI number (Unique professional ID assigned by NPPES) is 1013069061. Dr. Blake Douglas Wagner Jr. is specialized in psychological testing and evaluating or assessing patient's personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning. Accordingly, he performs counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy. He can diagnose and treat mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability by psycheducational evaluation, therapy, remediation, and consultation.
Complete Profile:
Dr. Blake Douglas Wagner Jr. speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Dr. Blake Douglas Wagner Jr.
Specialization:
General Psychology
Gender:
Male
Credentials:
PH.D.
Experience:
36+ years
Medical School Attended:
Other
Graduation Year:
1988
Accepts Medicare Assignment:
Yes
Practice Address:
1575 Marion Ave, Mansfield, Ohio, 44906-3409
Phone:
419-529-9941
Fax:
419-529-0496
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
3971498205
Enrollment ID:
I20040218000255
NPI Number:
1013069061
NPI Enumeration Date:
18 Jan, 2007
NPI Last Update On:
02 Sep, 2008
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Blake Douglas Wagner Jr. are as mentioned below.
License Number
Specialization
State
Status
I-4127
General Psychology
Ohio
Primary
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Blake Douglas Wagner Jr. is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
New Directions Eap Inc (3375438609)
3
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Blake Douglas Wagner Jr. such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
000000315185
Other
ANTHEM
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Dr. Blake Douglas Wagner Jr. 1575 Marion Ave, Mansfield, Ohio
Zip:
44906-3409
Phone Number:
419-529-9941
Fax Number:
419-529-0496
Patients can reach Dr. Blake Douglas Wagner Jr. at 1575 Marion Ave, Mansfield, Ohio or can call to book an appointment on 419-529-9941.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.