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Nicole S. Wagner, Ph.D., LLC

Clinical Psychologist in Lakewood, OH · enumerated 2008 · authorized official Nicole Wagner, Managing Partner.

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

National Provider Identifier

1053589135

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Registry record

Entity type Organization (Type 2)
Legal business name Nicole S. Wagner, Ph.D., LLC
Practice address 11740 Clifton Blvd, Suite 202, Lakewood, OH, 44107
Enumeration date Feb 12, 2008
Last updated in NPPES Feb 12, 2008

Taxonomy & classification

103TC0700X Clinical Psychologist Behavioral Health & Social Service Providers · License 6025 (OH) Primary

Authorized official

Name Nicole Wagner
Title Managing Partner

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

Who is the authorized official for Nicole S. Wagner, Ph.D., LLC?
NPPES lists Nicole Wagner (Managing Partner) as the authorized official for this organization.
What is the NPI number for Nicole S. Wagner, Ph.D., LLC?
The NPI for Nicole S. Wagner, Ph.D., LLC is 1053589135, a Type 2 (organization) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-02-12.