Blake Douglas Wagner Jr., PhD
- Hospital affiliations
- 1
- Medical group
- 1
- State license
- 1
- Year NPI issued
- 2007
- Practice address
- 629 North Sandusky Avenue, Bucyrus, OH 44820
- Practice phone
- Call (419) 563-9376
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Find Blake Wagner's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Blake Douglas Wagner Jr. is a psychologist in Bucyrus, Ohio
Blake Wagner practices at Bucyrus Hospital in Bucyrus, Ohio, part of Avita Health System.
Blake Wagner's NPI, 1013069061, was assigned on January 18, 2007. Blake Wagner holds Ohio license I-4127.
- NPI
- 1013069061NPI Registry (opens in a new tab)
- Medicare PAC ID
- 3971498205
- NPI enumeration date
- January 18, 2007
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Offers telehealth
- Yes
- Practice phone
- (419) 563-9376
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
- Estimated age
- 64
- Medical school graduation
- 1988
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)
Blake Douglas Wagner Jr. practices at Bucyrus Hospital in Bucyrus, Ohio
Blake Wagner's primary practice is Bucyrus Hospital, at 629 North Sandusky Avenue, Bucyrus, OH 44820 in Crawford County. The practice phone is (419) 563-9376.
- Bucyrus Hospital629 North Sandusky Avenue, Bucyrus, OH 44820 · Crawford CountyPhone(419) 563-9376
Source: Dmand AI Affiliation Data
Blake Douglas Wagner Jr. is affiliated with 2 sites of care and 1 medical group
Blake Wagner's primary practice is Bucyrus Hospital in Bucyrus, Ohio, part of Avita Health System. The medical group on file is New Directions E.A.P. & Counseling Center, LLC. Dmand AI also links Blake Wagner to 1 more group practice or clinic, named with a free account.
Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data
Dmand AI tracks the EHR system at Blake Douglas Wagner Jr.'s practice
Dmand AI tracks the electronic health record (EHR) system at each site where Blake Wagner practices, 2 sites in all. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Bucyrus Hospital | Available with a free account |
| +1 more affiliated site | Available with a free account |
Source: Dmand AI Technology Install Data
For health IT teams
Dmand AI maps EHR vendors, IT decision makers and buying committees across Avita Health System and 6.2K+ hospitals, with verified contacts in the same login.
Blake Douglas Wagner Jr. is one of 610 psychologists in Ohio
Psychologist is Blake Wagner's primary specialty in the NPI Registry, under taxonomy code 103T00000X. Blake Wagner is licensed in Ohio.
Specialties and state licenses
- Psychologist, OhioPrimary
Psychologists near Blake Wagner
Counts of psychologists with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Blake Douglas Wagner Jr.'s patients have a median age of 32
Across all payers, Dmand AI patient panel data puts Blake Wagner's median patient age at 32.
Blake Wagner's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 32
Source: Dmand AI Patient Panel Data
Blake Douglas Wagner Jr. offers telehealth to Medicare patients
Blake Wagner accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS lists Blake Wagner as offering telehealth.
- Accepts Medicare assignment
- Yes
- Offers telehealth
- Yes
Source: Doctors and Clinicians National Downloadable File (CMS)
Sources for Blake Douglas Wagner Jr.'s profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | Dmand AI Affiliation Data |
| Primary practice, affiliations and health system | Dmand AI Affiliation DataDmand AI Org Hierarchy Data |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel Data |
| MIPS scores, telehealth, assignment and procedure percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab) |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Blake Douglas Wagner Jr.
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Blake Douglas Wagner Jr.'s NPI number?
Blake Douglas Wagner Jr.'s NPI number is 1013069061. It was assigned on January 18, 2007, and it is active in the NPI Registry.
What does Blake Douglas Wagner Jr. specialize in?
Blake Douglas Wagner Jr. is a psychologist in Bucyrus, Ohio. The primary specialty in the NPI Registry is Psychologist (taxonomy code 103T00000X).
Where does Blake Douglas Wagner Jr. practice?
Blake Wagner practices at 629 North Sandusky Avenue, Bucyrus, OH 44820. Blake Wagner's primary practice is Bucyrus Hospital in Bucyrus, Ohio, part of Avita Health System. Dmand AI also links Blake Wagner to 1 group practice or clinic.
What is Blake Douglas Wagner Jr.'s office phone number?
The practice phone on file for Blake Wagner is (419) 563-9376.
What is Blake Douglas Wagner Jr.'s medical license number?
Blake Wagner holds Ohio license I-4127.
Which hospitals is Blake Douglas Wagner Jr. affiliated with?
Blake Wagner practices at Bucyrus Hospital in Bucyrus, Ohio.
What medical group is Blake Douglas Wagner Jr. part of?
Blake Wagner is linked to New Directions E.A.P. & Counseling Center, LLC.
Does Blake Douglas Wagner Jr. accept Medicare?
Yes. CMS lists Blake Wagner as accepting Medicare assignment.
Does Blake Douglas Wagner Jr. offer telehealth?
Yes. The CMS Doctors and Clinicians file lists Blake Wagner as offering telehealth services.
How long has Blake Douglas Wagner Jr. been practicing?
Blake Wagner graduated from medical school in 1988, 38 years ago.
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