Active NPIOrganization

Andrea M Wagner Psychologist PC

Clinic/Center, Adult Mental Health in Newport Beach, California

NPI Number1770314270
Practice location
456 Old Newport Blvd, Newport Beach, CA 92663-4211
Fax
949-203-6158
Last updated
May 20, 2026

Andrea M Wagner Psychologist PC is a healthcare organization based in Newport Beach, CA. Andrea M Wagner Psychologist PC practices in Newport Beach, CA. The NPI Number for Andrea M Wagner Psychologist PC is 1770314270. The current practice location address for Andrea M Wagner Psychologist PC is 456 Old Newport Blvd, Newport Beach, CA 92663-4211 and can be reached out via phone at 949-447-8257 and via fax at 949-203-6158.

Provider Profile Details

NPI Number
1770314270
Provider Name
Andrea M Wagner Psychologist PC
Provider Entity Type
Organization
Address
456 Old Newport Blvd, Newport Beach, CA 92663-4211
Phone Number
949-447-8257
Fax Number
949-203-6158
Primary Taxonomy
Clinic/Center, Adult Mental Health · 261QM0850X
Organization Subpart
Yes
Parent Organization
Andrea M Wagner Psychologist PC
Authorized Official
Dr. Andrea Marie Wagner, PSYD · Owner · 949-447-8257
Other Names
Redeemed Mental Health (Doing Business As)
Provider Enumeration Date
August 8, 2024
Last Update Date
May 20, 2026
Certification Date
May 20, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
456 Old Newport Blvd
Newport Beach, CA 92663-4211
Zip
92663-4211
Phone Number
949-447-8257
Fax Number
949-203-6158
Newport Beach, CA 92663Get directions →

Provider Business Mailing Address Details

Address
456 Old Newport Blvd
Newport Beach, CA 92663-4211
City
Newport Beach
State
CA
Zip
92663-4211
Phone Number
949-447-8257
Fax Number
949-209-0357

License Information

Taxonomy (1)
Psychologist · 103T00000X
Taxonomy (3)
Clinic/Center, Adult Mental Health · 261QM0850X · 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 Andrea M Wagner Psychologist PC?

The NPI number of Andrea M Wagner Psychologist PC is 1770314270. It was assigned on August 8, 2024 and is currently active in the NPPES registry.

What is the specialty of Andrea M Wagner Psychologist PC?

Andrea M Wagner Psychologist PC is registered under the primary taxonomy Clinic/Center, Adult Mental Health (code 261QM0850X).

Where does Andrea M Wagner Psychologist PC practice?

The practice location is 456 Old Newport Blvd, Newport Beach, CA 92663-4211. The office can be reached at 949-447-8257 (phone) or 949-203-6158 (fax).

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 1770314270 directly on the NPPES registry website.

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