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

Individual provider Clinical Child & Adolescent Psychologist · NPI 1134738057

Scott T Wagoner, PHD is a Clinical Child & Adolescent Psychologist in Indianapolis, Indiana. Works from 2 locations. Licensed in Indiana.

Licensed in
IN
In the registry since
2020
Specialties on file
2
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

705 Riley Hospital Dr
Indianapolis, IN 46202-5109
Phone: (317) 944-3774
Fax: (317) 944-8521
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 575 Riley Hospital Dr, Indianapolis, IN 46202-5272 — (317) 944-1969

Specialties & licences

Clinical Child & Adolescent Psychologist (primary) Taxonomy 103TC2200X · Licence 20043486B (IN)
Family Psychologist Taxonomy 103TF0000X · Licence 20043486A (IN)

Record details

NPI number1134738057
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedJuly 27, 2020
Last updated in NPPESFebruary 7, 2026
Certification dateFebruary 7, 2026

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