Psychiatry Nola

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

Legal business name

PSYCHIATRY NOLA

Practice address

1426 Amelia St
New Orleans, LA 70115-3622

Phone

(504) 952-6322

Fax

(504) 897-4876

NPI assigned

Jan 31, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Colleen Shannon Hagemann, MDNPI 1609190636

Title

Owner

Phone

(504) 952-6322

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Colleen Shannon Hagemann, MD

  • Child & Adolescent Psychiatry Physician
  • New Orleans, LA
  • NPI 1609190636
  NPD (past) Authorized official
• Tonya Croll Fowler, FNP-C

  • Family Nurse Practitioner
  • Covington, LA
  • NPI 1952763880
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1548892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548892800000",
    "number": "1013472364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1426 AMELIA ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701153622",
            "telephone_number": "504-952-6322",
            "fax_number": "504-897-4876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1426 AMELIA ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701153622",
            "telephone_number": "504-952-6322",
            "fax_number": "504-897-4876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHIATRY NOLA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-31",
        "last_updated": "2019-01-31",
        "status": "A",
        "authorized_official_last_name": "HAGEMANN",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_middle_name": "SHANNON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-952-6322",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHILD AND ADOLESCENT PSYCHIATRY",
            "identifier": "1609190636",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Prytania Pathology Associates, LLC
• Psalms 23 DME
• Psalms 23 DME LLC
• Psalms 23 DME LLC
• Psalms 23 DME LLC
• Psychotherapeutic, Counseling, and Mediation Services, Inc.
• Catherine Puett, LCSW
• Angela Pugh-Antee, LCSW
• Lindsey Pujol, RSW
• Molly Pulda, LMSW

• Child & Adolescent Psychiatry Physician in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Child & Adolescent Psychiatry Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.