DAVID J WAGNER (ED.D.) – Psychologist, NPI 1669522710

DAVID J WAGNER (ED.D.) is a healthcare provider. based in Kalamazoo, Michigan. specializing in Psychologist. They hold the professional credentials ED.D.. They hold a License No. 6301007764 (MI). The NPI Number for DAVID J WAGNER (ED.D.) is 1669522710

Main info

Male
Sole Proprietor
37 Years Of Experience
Accepts Medicare Assignment
Name
DAVID J WAGNER (ED.D.)
NPI
1669522710
Phone
(269) 345-0909
Address
2019 RAMBLING RD
Enumeration Date
11 January 2007
Last Update Date
3 September 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2693450909
Graduation Year
1989 (37 years ago)
PAC ID
0547279374
Group Practice PAC ID
2961446273
Professional Enrollment ID
I20111219000505
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 DAVID J WAGNER (ED.D.)

  • 2019, Rambling Road, Kalamazoo, Kalamazoo County, Michigan, 49008, United States

    KALAMAZOO, MI 490081630

    Phone: (269) 345-0909

    Fax: (269) 345-4985

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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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.

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

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 49008)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2961446273View full group profile
NameSpecialtyState
Clinical Social WorkerMI
Mental Health CounselorMI
Clinical Social WorkerMI
Mental Health CounselorMI
Clinical Social WorkerWI
Clinical Social WorkerMI
Clinical Social WorkerMI
Clinical Social WorkerMI
Mental Health CounselorMI
Mental Health CounselorMI

Reviews

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Frequently asked questions

Can I verify DAVID J WAGNER (ED.D.) with an NPI only?
You can start verification with NPI 1669522710 for DAVID J WAGNER (ED.D.), then check state licensing separately.
Does CMS list DAVID J WAGNER (ED.D.) as active?
Yes — DAVID J WAGNER (ED.D.) is active in the NPI listing used on this page.
What is DAVID J WAGNER (ED.D.)'s primary classification?
Psychologist is the headline specialty for DAVID J WAGNER (ED.D.) here. Clinical services aligned with this taxonomy classification.
What area does DAVID J WAGNER (ED.D.) serve?
DAVID J WAGNER (ED.D.)'s listing highlights Kalamazoo, Michigan; more addresses can appear in NPPES.
Why does DAVID J WAGNER (ED.D.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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