Dr. Blake Douglas Wagner Jr.
PH.D. | Psychologist | 37+ years Exp
1575 Marion Ave, Mansfield
Ohio, 44906-3409
419-529-9941 419-529-0496
Maps & DirectionsDr. Blake Douglas Wagner Jr. is a Mansfield, Ohio based psychologist with 37 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: | 37+ 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:
Read all the reviews posted for Dr. Blake Douglas Wagner Jr. below. You may also share your own experience with Dr. Blake Douglas Wagner Jr.. Your feedback can help others make better decisions.
**
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.