KRISTINE TIFFANY WAGNER PH.D. NPI 1902837255

NPI Information

  • NPI: 1902837255
  • Provider Name: KRISTINE TIFFANY WAGNER, PH.D.
  • Classification: Clinical Neuropsychologist - 103G00000X
  • Entity Type: Individual
  • Address: 27393 YNEZ RD
    SUITE 153
    TEMECULA, CA
    ZIP 92591
  • Phone: (951) 695-7400

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NPI Details

Kristine Tiffany Wagner, PH.D. is a clinical neuropsychologist in Temecula, CA. The provider is a clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. Kristine Tiffany Wagner, PH.D. NPI is 1902837255. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

27393 YNEZ RD
SUITE 153
TEMECULA, CA
ZIP 92591-604
Phone: (951) 695-7400
Fax: (951) 695-7144

The enumeration date for this NPI number is 7/5/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103G00000XClinical NeuropsychologistPSY18320CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1WCP18320AMEDICARE ID-TYPE UNSPECIFIED
2P60902MEDICARE UPIN
3W18386MEDICARE ID-TYPE UNSPECIFIEDSO. CAL PROVIDER NUMBER
40PL183200MEDICARE ID-TYPE UNSPECIFIED
5ZZZ01448ZMEDICARE ID-TYPE UNSPECIFIEDNO. CAL GROUP ID NO.

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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