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

Individual provider Clinical Psychologist · NPI 1528428398

Dr. Jacquelyn Wright Wagner, PSYD is a Clinical Psychologist in Saint Paul, Minnesota. Qualified in 2014, 12 years ago. Practices with Group Health Plan Inc, a 1,633-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
12
Licensed in
MN
In the registry since
2016
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

2500 Como Ave
Saint Paul, MN 55108-1460
Phone: (651) 641-6200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1772 Steiger Lake Ln, Victoria, MN 55386-7723 — (952) 443-4600

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 6159 (MN)

Record details

NPI number1528428398
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorNo
NPI enumeratedMarch 7, 2016
Last updated in NPPESSeptember 16, 2020
Certification dateSeptember 16, 2020

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Group Health Plan Inc — 1633 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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