Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Benjamin Wagner, DO

Individual provider Psychiatry Physician · NPI 1174191290

Benjamin Wagner, DO is a Psychiatry in Portsmouth, New Hampshire. Qualified in 2021, 5 years ago. Practices with State of New Hampshire, a 77-clinician group and accepts Medicare assignment. Licensed in New Hampshire.

Years since qualifying
5
Licensed in
NH
In the registry since
2021
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

333 Borthwick Ave
Portsmouth, NH 03801-7128
Phone: (603) 570-3118
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Psychiatry Physician Taxonomy 2084P0800X · Licence 24500 (NH)

Record details

NPI number1174191290
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 15, 2021
Last updated in NPPESNovember 4, 2024
Certification dateNovember 4, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice State Of New Hampshire — 77 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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