About
Dr. Blake Douglas Wagner Jr. is a Psychologist in Mansfield, Ohio. He graduated in 1988. He has over 17 years of experience. He is affiliated with New Directions Eap Inc.. Dr. Blake D. Wagner Jr. is a group member of New Directions Eap Inc. Contact Dr. Blake Douglas Wagner Jr. to request his Medicare information, payment methods he accepts, or to book an appointment.
Basic Data
PECOS ID: 3971498205
Entity Type: Individual; Not Sole Proprietor
Accepts Med Assignment: He does accept the payment amount Medicare approves and not to bill you for more than the Medicare deductible and coinsurance.
Organization Name: New Directions Eap Inc.
Gender
Male
Years in Practice
17 years
Healthcare Provider Taxonomy
- Code: 103T00000X
- Grouping: Behavioral Health & Social Service Providers
- Classification: Psychologist
Credentials
- Doctor of Philosophy (PH.D.)
HCPCS Codes
Healthcare Common Procedure Coding System (HCPCS) codes commonly used by this therapist.
| Code | Code Description | Service Count | Beneficiary Count |
|---|---|---|---|
| 90837 | Psychotherapy, 60 minutes | 159 | 17 |
Group Practices
Group practices this therapist belongs to includes:
| New Directions Eap Inc | |
|---|---|
| Address | 1575 Marion Ave |
| Mansfield, OH 44906-3409 | |
| Group PAC ID | 3375438609 |
| Group Members | 3 |
Licenses
| Name | License Number | State |
|---|---|---|
| Psychologist | I-4127 Verify | OH |
Education
| Year Graduated |
|---|
| 1988 |
Practice Locations
1575 Marion Ave
Mansfield, OH 44906-3409
Phone Number: (419) 529-9941
Fax Number: (419) 529-0496
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