Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1598045841 Individual Practitioner Male Practitioner

Dr. Michael C Wagner , PsyD

Psychologist • Frederick, MD

Professional Overview & Biography Verified Profile Summary

Dr. Michael Wagner, PsyD is a registered healthcare professional specializing in Psychologist in Frederick, MD. Practice services are available at 10 N JEFFERSON ST under active NPI credentials.

Frequently performed procedures and clinical services include psychotherapy, psychiatric diagnostic evaluation. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

10 N Jefferson St
Suite 403

Frederick, MD 217013500

Telephone 3016208700
Fax 3016208710
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Frederick, MD

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 29.0 Yrs
State Avg: 27.5 Yrs
Regional Practice Density
28 Specialists

Practicing in Frederick, MD (1248 Statewide)

Telehealth Adoption Rate
17.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
1.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90837 Psychotherapy, 60 minutes
1,973 88 $153.64 $152.15
90832 Psychotherapy, 30 minutes
100 20 $80.04 $78.59
90834 Psychotherapy, 45 minutes
80 23 $105.28 $103.74
90791 Psychiatric diagnostic evaluation
23 23 $182.22 $181.23

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License MD 05275

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Psychologist - Clinical

NUCC Taxonomy Code: 103TC0700X

State License VA 0810004819

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 disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners
Pamela Shepp

Counselor - Professional

NPI 1104220664
Anita Hadden , MA

Marriage & Family Therapist

NPI 1124493754

Master of Arts

NPI 1285756767

Doctor of Psychology (Psy.D.)

David Cruzan , MS, LGPC

Counselor - Professional

NPI 1366892234

Master of Science, LGPC

Charlanne Wolff , LCPC, LMHC

Counselor - Mental Health

NPI 1447573555

Licensed Clinical Professional Counselor, Licensed Mental Health Counselor

Peter Wolff , LCPC

Counselor - Professional

NPI 1477126431

Licensed Clinical Professional Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 25, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location March 25, 2014

Registered at 10 N JEFFERSON ST, SUITE 403, FREDERICK, MD 217013500 (Tel: 3016208700)

📍
Updated Business Mailing Address March 25, 2014

Registered at 10 N JEFFERSON ST, SUITE 403, FREDERICK, MD 217013500 (Tel: 3016208700)

👤
Provider Name / Credentials Updated March 25, 2014

Recorded as MICHAEL WAGNER, PSY.D

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 25, 2014

Psychologist (License #05275 in MD)

🟢
Initial NPI Registration & Enumeration August 18, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1598045841
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 18, 2011
Last Update: March 25, 2014
Sole Proprietor: No

Mailing Address

10 N Jefferson St, Suite 403

Frederick, MD 217013500

Phone: 3016208700

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.