Organization
REDEEMED MENTAL HEALTH LLC
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 M WAGNER PSY.D. (DIRECTOR/OWNER)
(949) 782-2254
Entity
Organization
Contact information
Practice address
456 OLD NEWPORT BLVD, NEWPORT BEACH, CA 92663-4211
(949) 782-2254
(949) 203-6158
Mailing address
456 OLD NEWPORT BLVD, NEWPORT BEACH, CA 92663-4211
(949) 782-2254
(949) 203-6158
Taxonomy
Speciality
Code
Description
License number
State
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
08/10/2023
Last updated
05/21/2026
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