Active NPIIndividual providerSole proprietor

Dr. Amanda Wagner, PSYD, LPC

Psychologist, Counseling in Paramus, New Jersey

NPI Number1144683574
Practice location
49 E Midland Ave, Paramus, NJ 07652-2920
Fax
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Last updated
January 1, 2023

Amanda Wagner is a Psychologist, Counseling based in Paramus, NJ. Amanda Wagner practices in Paramus, NJ and has the professional credentials of PSYD, LPC. The NPI Number for Amanda Wagner is 1144683574 and holds a License No. 37PC00547200 (NJ). The current practice location address for Amanda Wagner is 49 E Midland Ave, Paramus, NJ 07652-2920 and can be reached out via phone at 201-921-0256.

Provider Profile Details

NPI Number
1144683574
Provider Name
Amanda Wagner
Credential
PSYD, LPC
Provider Entity Type
Individual
Gender
Female
Address
49 E Midland Ave, Paramus, NJ 07652-2920
Phone Number
201-921-0256
Primary Taxonomy
Psychologist, Counseling · 103TC1900X
Sole Proprietor
Yes
Provider Enumeration Date
April 2, 2016
Last Update Date
January 1, 2023
Certification Date
January 1, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
49 E Midland Ave
Paramus, NJ 07652-2920
Zip
07652-2920
Phone Number
201-921-0256
Paramus, NJ 07652Get directions →

Provider Business Mailing Address Details

Address
Po Box 184
Waldwick, NJ 07463-0184
City
Waldwick
State
NJ
Zip
07463-0184
Phone Number
201-921-0256

License Information

License Number (1)
37PC00547200
License State (1)
NJ
Taxonomy (1)
Counselor, Professional · 101YP2500X
License Number (2)
35SI00692600
License State (2)
NJ
Taxonomy (2)
Psychologist, Counseling · 103TC1900X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Amanda Wagner, PSYD, LPC?

The NPI number of Dr. Amanda Wagner, PSYD, LPC is 1144683574. It was assigned on April 2, 2016 and is currently active in the NPPES registry.

What is the specialty of Dr. Amanda Wagner, PSYD, LPC?

Dr. Amanda Wagner, PSYD, LPC is registered under the primary taxonomy Psychologist, Counseling (code 103TC1900X), licensed in NJ under license number 37PC00547200.

Where does Dr. Amanda Wagner, PSYD, LPC practice?

The practice location is 49 E Midland Ave, Paramus, NJ 07652-2920. The office can be reached at 201-921-0256 (phone).

What is an NPI number?

A National Provider Identifier (NPI) 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). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1144683574 directly on the NPPES registry website.

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