DR. JANIS ANN WAGNER (PH.D) – Psychologist, NPI 1306990627

Psychologist

DR. JANIS ANN WAGNER (PH.D) is a healthcare provider. based in Boston, Massachusetts. specializing in Psychologist. They hold the professional credentials PH.D. They hold a License No. PY2351PR (MA). The NPI Number for DR. JANIS ANN WAGNER (PH.D) is 1306990627

Main info

Female

Sole Proprietor

50 Years Of Experience

Accepts Medicare Assignment

Name

DR. JANIS ANN WAGNER (PH.D)

NPI

1306990627

Phone

(617) 416-7815

Address

17 GROVE ST

Enumeration Date

23 January 2007

Last Update Date

17 June 2014

Doctor Profile

Medical School Name

STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE

Secondary Phone

6174167815

Graduation Year

1976 (50 years ago)

PAC ID

4880742469

Professional Enrollment ID

I20090508000525

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience52

Completeness75

Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for DR. JANIS ANN WAGNER (PH.D)

17, Grove Street, Beacon Hill, Boston, Suffolk County, Massachusetts, 02114, United States
UNIT 3
BOSTON, MA 021143408
Phone: (617) 416-7815
Type: Mailing
521, Mount Auburn Street, East Watertown, Watertown, Middlesex County, Massachusetts, 02472, United States
SUITE 107-109
WATERTOWN, MA 024724191
Phone: (617) 416-7815
Fax: (781) 719-5039
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02114)

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Reviews

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Frequently asked questions

What is the registry number for DR. JANIS ANN WAGNER (PH.D)?

The registry entry for DR. JANIS ANN WAGNER (PH.D) shows NPI 1306990627.

Is DR. JANIS ANN WAGNER (PH.D) currently accepting referrals based on NPI status?

Registry metadata lists DR. JANIS ANN WAGNER (PH.D) as active.

What services align with DR. JANIS ANN WAGNER (PH.D)'s listing?

DR. JANIS ANN WAGNER (PH.D)'s public classification highlights Psychologist. Clinical services aligned with this taxonomy classification.

What geographic area is tied to DR. JANIS ANN WAGNER (PH.D)?

DR. JANIS ANN WAGNER (PH.D) is associated with Boston, Massachusetts in the same public data insurers reference.

Why is information missing for DR. JANIS ANN WAGNER (PH.D)?

Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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