Elizabeth Wagner, Psyd, Lp, Inc.
NPI 1740637818 · Clinical Psychologist · Saint Louis Park, MN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Elizabeth Wagner, Psyd, Lp, Inc. is a Clinical Psychologist organization in Saint Louis Park, MN (NPI 1740637818).
Provider details
- NPI number
- 1740637818
- Entity type
- Organization
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Elizabeth Wagner, Chief Executive Officer(952) 444-9744
- License
- 5833 (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
10 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
Other names (DBA / former)
- Doing business as
- Eleos Psychology Center
Registry dates
- Enumerated
- 2016-05-19
- Last updated
- 2016-07-01
Frequently asked questions
- What is Elizabeth Wagner, Psyd, Lp, Inc.'s NPI number?
- Elizabeth Wagner, Psyd, Lp, Inc.'s National Provider Identifier (NPI) is 1740637818, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Elizabeth Wagner, Psyd, Lp, Inc.?
- Elizabeth Wagner, Psyd, Lp, Inc. is classified in the NPPES registry as Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Elizabeth Wagner, Psyd, Lp, Inc. located?
- Elizabeth Wagner, Psyd, Lp, Inc.'s practice location on file with NPPES is 4500 Park Glen Rd, Saint Louis Park, MN 55416-4871.
- What is Elizabeth Wagner, Psyd, Lp, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Elizabeth Wagner, Psyd, Lp, Inc. is (952) 444-9744.
- Does Elizabeth Wagner, Psyd, Lp, Inc. accept Medicare?
- Elizabeth Wagner, Psyd, Lp, Inc. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Elizabeth Wagner, Psyd, Lp, Inc.?
- The authorized official listed on Elizabeth Wagner, Psyd, Lp, Inc.'s NPPES record is Elizabeth Wagner, Chief Executive Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Elizabeth Wagner, Psyd, Lp, Inc.'s NPI active?
- Yes — Elizabeth Wagner, Psyd, Lp, Inc.'s NPI (1740637818) is active in the NPPES registry as of the last update on 2016-07-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.