IndividualActive
Blake Wagner, PH.D.
NPI 1013069061 · Psychologist · Mansfield, OH
Provider details
- NPI number
- 1013069061
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Male
- Sole proprietor
- No
- License
- I-4127 (OH)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1575 Marion Ave
Mansfield, OH 44906-3409
Phone: (419) 529-9941
Fax: (419) 529-0496
Street-level locationGet directions
Mailing address
1575 Marion Ave
Mansfield, OH 44906-3409
Registry dates
- Enumerated
- 2007-01-18
- Last updated
- 2008-09-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.