Individual provider · Type 1 NPI

Jay John Wagener, PhD

Clinical Psychologist · Pasadena, CA

NPI number 1093610255 Active

Practice location

67 W Dayton St
Pasadena, CA 91105-2001

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700XPSY8453 (CA)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1093610255

Jay John Wagener, PhD's National Provider Identifier is 1093610255, issued on Oct 8, 2026. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Pasadena, CA. The record was last updated on Oct 8, 2026.