IndividualActive
Madeline Wagner, PH.D,
NPI 1063560704 · Clinical Psychologist · Cambridge, MA
Madeline Wagner, PH.D, is a Clinical Psychologist provider in Cambridge, MA (NPI 1063560704).
Provider details
- NPI number
- 1063560704
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D,
- Sex
- Female
- Sole proprietor
- Yes
- License
- 5038 (MA)
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
328 Broadway
Cambridge, MA 02139-1840
Phone: (617) 661-9989
Fax: (978) 371-0643
Street-level locationGet directions
Mailing address
328 Broadway
Cambridge, MA 02139-1840
Registry dates
- Enumerated
- 2007-01-08
- Last updated
- 2007-07-08
Frequently asked questions
- What is Madeline Wagner's NPI number?
- Madeline Wagner's National Provider Identifier (NPI) is 1063560704, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Madeline Wagner's specialty?
- Madeline Wagner is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Madeline Wagner located?
- Madeline Wagner's practice location on file with NPPES is 328 Broadway, Cambridge, MA 02139-1840.
- What is Madeline Wagner's phone number?
- The practice phone number listed in the NPPES registry for Madeline Wagner is (617) 661-9989.
- Is Madeline Wagner's NPI active?
- Yes — Madeline Wagner's NPI (1063560704) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.