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

Dr. Andrea M Wagner, PSYD

Individual provider Addiction (Substance Use Disorder) Psychologist · NPI 1366995078

Dr. Andrea M Wagner, PSYD is an Addiction (Substance Use Disorder) Psychologist in Newport Beach, California. Practices as a sole proprietor. Licensed in California and Connecticut.

Licensed in
CA, CT
In the registry since
2016
Specialties on file
6
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

456 Old Newport Blvd
Newport Beach, CA 92663-4211
Phone: (949) 447-8257
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Psychologist (primary) Taxonomy 103TA0400X · Licence 32730 (CA)
Clinical Psychologist Taxonomy 103TC0700X · Licence 5083 (CT)
Rehabilitation Psychologist Taxonomy 103TR0400X · Licence 5083 (CT)
Rehabilitation Psychologist Taxonomy 103TR0400X · Licence 32730 (CA)
Clinical Psychologist Taxonomy 103TC0700X · Licence 32730 (CA)
Intellectual & Developmental Disabilities Psychologist Taxonomy 103TM1800X · Licence 32730 (CA)

Record details

NPI number1366995078
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorYes
NPI enumeratedJuly 28, 2016
Last updated in NPPESMay 21, 2026
Certification dateMay 21, 2026

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