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

Individual provider Clinical Psychologist · NPI 1295803476

Nicole S Wagner, PHD is a Clinical Psychologist in Beachwood, Ohio. Practices as a sole proprietor and works from 2 locations. Licensed in Ohio.

Licensed in
OH
In the registry since
2006
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

29525 Chagrin Blvd Ste 313
Beachwood, OH 44122
Phone: (216) 548-5469
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 20325 Center Ridge Rd, Rocky River, OH 44116-3572 — (216) 548-5469

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 6025 (OH)

Record details

NPI number1295803476
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedDecember 4, 2006
Last updated in NPPESJuly 20, 2022
Certification dateJuly 20, 2022
Mailing address26047 Byron Dr, North Olmsted, OH 44070-1913

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