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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Blake Douglas Wagner Jr., PH.D.

Psychologist in Mansfield, OH · enumerated 2007 · practices at New Directions Eap Inc..

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1013069061

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Registry record

Entity type Individual (Type 1)
Name Dr. Blake Douglas Wagner Jr.
Credential PH.D.
Sex Male
Practice address 1575 Marion Ave, Mansfield, OH, 44906
Phone (419) 529-9941
Fax (419) 529-0496
Enumeration date Jan 18, 2007
Last updated in NPPES Sep 2, 2008

Taxonomy & licenses

103T00000X Psychologist Behavioral Health & Social Service Providers · License I-4127 (OH) Primary
PHD · Doctor of Philosophy: A doctoral degree; in healthcare often held by clinical psychologists and researchers. About the PHD credential

Other identifiers

Identifier Type State Issuer
000000315185 Other - ANTHEM

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is NPI 1013069061 active?
Yes, as of the latest NPPES snapshot, NPI 1013069061 is active (record last updated 2008-09-02).
How do I verify Blake Wagner's NPI record?
Cross-check NPI 1013069061 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-09-02.