Individual provider · Type 1 NPI

Andrea M. Wagner, PSY.D.

Addiction (Substance Use Disorder) Psychologist · Newport Beach, CA

NPI number 1366995078 Active

Practice location

456 Old Newport Blvd
Newport Beach, CA 92663-4211

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Psychologist Primary 103TA0400X32730 (CA)
Clinical Psychologist 103TC0700X5083 (CT)
Rehabilitation Psychologist 103TR0400X5083 (CT)
Rehabilitation Psychologist 103TR0400X32730 (CA)
Clinical Psychologist 103TC0700X32730 (CA)
Intellectual & Developmental Disabilities Psychologist 103TM1800X32730 (CA)

Addiction (Substance Use Disorder) Psychologist: A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behav…

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About NPI 1366995078

Andrea M. Wagner, PSY.D.'s National Provider Identifier is 1366995078, issued on Jul 28, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Psychologist (103TA0400X), and the practice location is in Newport Beach, CA. The record was last updated on May 21, 2026.