Cognizant Health LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME114651 Issued in FL

Legal business name

COGNIZANT HEALTH LLC

Practice address

1415 Panther LN
Naples, FL 34109-7874

Phone

(239) 404-3379

Fax

(239) 591-6717

NPI assigned

Jun 9, 2016

Last updated

Jun 9, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alan K Hagstrom, MDNPI 1619947801

Title

Sole Owner

Phone

(239) 404-3379

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alan Kyle Hagstrom, MD

  • Psychiatry Physician
  • Naples, FL
  • NPI 1619947801
  Authorized official Same address or phone

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

{
    "created_epoch": "1465430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465430400000",
    "number": "1093164063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 PARK SHORE DR",
            "address_2": "SUITE 202",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341032688",
            "telephone_number": "480-313-0223",
            "fax_number": "239-591-6717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 PANTHER LN",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341097874",
            "telephone_number": "239-404-3379",
            "fax_number": "239-591-6717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COGNIZANT HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-09",
        "last_updated": "2016-06-09",
        "status": "A",
        "authorized_official_last_name": "HAGSTROM",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "239-404-3379",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME114651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Naples, FL
• Providers in Naples, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2016; 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.