DR. LILIET WAGNER (PSY. D.) – Clinical Psychologist, NPI 1740369677
Clinical Psychologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,434 CLINICAL PSYCHOLOGIST in CA
Provider Addresses for DR. LILIET WAGNER (PSY. D.)
PO BOX 800881
SANTA CLARITA, CA 913800881
Phone: (661) 644-5454
Type: Mailing
209 S. STEPHANIE ST. STE. B #152
SUITE B #152
HENDERSON, NV 89012
Phone: (661) 347-8286
Fax: (818) 474-7148
Type: Mailing
24509 WALNUT ST STE 201
NEWHALL, CA 913212846
Phone: (661) 347-8286
Fax: (818) 474-7148
Type: Location
10740 N COUNTRY DR
EDMOND, OK 730347615
Phone: (661) 347-8286
Fax: (818) 474-7148
Type: Mailing
22777 LYONS AVE STE 218
NEWHALL, CA 913212853
Phone: (661) 347-8286
Fax: (855) 978-2704
Type: Location
23560, Lyons Avenue, Newhall, Santa Clarita, Los Angeles County, California, 91321, United States
SUITE 205
NEWHALL, CA 913212521
Phone: (661) 644-5454
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2005-05-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050512000237 | I | Clinical Psychologist | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 91380)
Loading plans...
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.