Organization
ANDREA M WAGNER PSYCHOLOGIST PC
Active
Parent organization
ANDREA M WAGNER PSYCHOLOGIST PC
Other names
Redeemed Mental Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
ANDREA M WAGNER PSYCHOLOGIST PC
Authorized official
DR. ANDREA MARIE WAGNER PSY.D. (OWNER)
(949) 447-8257
Entity
Organization
Contact information
Practice address
456 OLD NEWPORT BLVD, NEWPORT BEACH, CA 92663-4211
(949) 447-8257
(949) 203-6158
Mailing address
456 OLD NEWPORT BLVD, NEWPORT BEACH, CA 92663-4211
(949) 447-8257
(949) 209-0357
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
08/08/2024
Last updated
05/21/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up