Lyle Wagner, PHD, LP
NPI 1649683939 · Clinical Psychologist · Coon Rapids, MN
Lyle Wagner, PHD, LP is a Clinical Psychologist provider in Coon Rapids, MN (NPI 1649683939).
Provider details
- NPI number
- 1649683939
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD, LP
- Sex
- Male
- Sole proprietor
- No
- License
- 5751 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
Mailing address
Registry dates
- Enumerated
- 2014-06-04
- Last updated
- 2014-06-04
Frequently asked questions
- What is Lyle Wagner's NPI number?
- Lyle Wagner's National Provider Identifier (NPI) is 1649683939, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Lyle Wagner's specialty?
- Lyle Wagner is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Lyle Wagner located?
- Lyle Wagner's practice location on file with NPPES is 3907 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2520.
- What is Lyle Wagner's phone number?
- The practice phone number listed in the NPPES registry for Lyle Wagner is (320) 629-7600.
- Is Lyle Wagner's NPI active?
- Yes — Lyle Wagner's NPI (1649683939) is active in the NPPES registry as of the last update on 2014-06-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.