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

Dr. Richard Laverne Wagner, MD

Individual provider Psychiatry Physician · NPI 1134236334

Dr. Richard Laverne Wagner, MD is a Psychiatry Physician in Providence, Rhode Island. Practices as a sole proprietor. Licensed in Rhode Island and Virginia.

Licensed in
RI, VA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

12 Benevolent St
Providence, RI 02906-1103
Phone: (401) 952-8006
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence MD06303 (RI)
Psychiatry Physician Taxonomy 2084P0800X · Licence 0101032864 (VA)

Record details

NPI number1134236334
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 24, 2006
Last updated in NPPESJuly 8, 2007

Other providers in Providence