Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1013033398 Individual Practitioner Female Practitioner

Dr. Leslie Ann Wagner , PhD

Psychologist • Grosse Pointe, MI

Professional Overview & Biography Verified Profile Summary

Dr. Leslie Wagner, PhD is a registered healthcare professional specializing in Psychologist in Grosse Pointe, MI. Practice services are available at 533 SAINT CLAIR ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

533 Saint Clair St

Grosse Pointe, MI 482301503

Telephone 3139787792
Fax 3139361084
Associated Practice Facility / Clinic
🏢 Barefootsouls-Com Inc Facility NPI 1174835714

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Grosse Pointe, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 31.0 Yrs
State Avg: 26.4 Yrs
Regional Practice Density
4 Specialists

Practicing in Grosse Pointe, MI (2669 Statewide)

Telehealth Adoption Rate
25.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License MI 6301012459

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 MI 6301012459

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Nppes
1013033398

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location May 23, 2019

Registered at 533 SAINT CLAIR ST, GROSSE POINTE, MI 482301503 (Tel: 3139787792)

📍
Updated Business Mailing Address May 23, 2019

Registered at 533 SAINT CLAIR ST, GROSSE POINTE, MI 482301503 (Tel: 3139787792)

👤
Provider Name / Credentials Updated May 23, 2019

Recorded as LESLIE WAGNER, PH.D.

NPI Profile Active January 28, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location January 28, 2010

Registered at 26156 VAN DYKE AVE, CENTER LINE, MI 480152110 (Tel: 3139787792)

📍
Updated Business Mailing Address January 28, 2010

Registered at 26156 VAN DYKE AVE, CENTER LINE, MI 480152110 (Tel: 3139787792)

👤
Provider Name / Credentials Updated January 28, 2010

Recorded as LESLIE KAYE, PH.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 28, 2010

Psychologist (License #6301012459 in MI)

🟢
Initial NPI Registration & Enumeration March 21, 2007

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: 1013033398
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 21, 2007
Last Update: May 23, 2019
Sole Proprietor: Yes

Mailing Address

533 Saint Clair St

Grosse Pointe, MI 482301503

Phone: 3139787792

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.