OrganizationActive
Andrea M Wagner Psychologist PC
NPI 1770314270 · Adult Mental Health Clinic/Center · Newport Beach, CA
Provider details
- NPI number
- 1770314270
- Entity type
- Organization
- Primary specialty
- Adult Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Andrea M Wagner Psychologist PC
- Organization subpart
- Yes
- Authorized official
- Andrea Wagner, Owner(949) 447-8257
Specialties & taxonomies
Ambulatory Health Care Facilities
- Psychologist103T00000X
Behavioral Health & Social Service Providers
Ambulatory Health Care Facilities
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
456 Old Newport Blvd
Newport Beach, CA 92663-4211
Phone: (949) 447-8257
Fax: (949) 203-6158
Street-level locationGet directions
Mailing address
456 Old Newport Blvd
Newport Beach, CA 92663-4211
Other names (DBA / former)
- Doing business as
- Redeemed Mental Health
Additional practice locations (1)
- 108 Forty Acre Mountain RdDanbury, CT 06811-3373Phone: (949) 782-2254Fax: (949) 203-6158
Registry dates
- Enumerated
- 2024-08-08
- Last updated
- 2026-05-21
- Certified
- 2026-05-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.