Lynne Hagelin, PSYCHIATRIST

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

C10004155 Issued in DE

Practice address

123 N Dupont Rd
Wilmington, DE 19805-1908

Phone

(302) 530-0445

Fax

(302) 656-5837

NPI assigned

Oct 11, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Lynne Hagelin Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342396800000",
    "number": "1104915073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 N DUPONT RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198051908",
            "telephone_number": "302-530-0445",
            "fax_number": "302-656-5837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 N DUPONT RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198051908",
            "telephone_number": "302-530-0445",
            "fax_number": "302-656-5837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGELIN",
        "first_name": "LYNNE",
        "credential": "PSYCHIATRIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2012-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "DE",
            "license": "C10004155",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD 045171E",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "C10004155",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYNNE",
            "last_name": "HAGELIN",
            "credential": "PSYCHIATRIST",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jasmine Nichole Hackett, LSW
• Laurie Hackett, RN
• Mark Haegele, DO
• Heather Louise Hagan, MA, CCC-SLP
• Mary Margarett Hagee, D.O.
• Austin D Hager, DO
• Jennifer A. Hagerty, DO
• Brynn Marie Haggerty
• Nathaniel Hague
• Robert Girard Hahn, D.D.S.

• Psychiatry Physician in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Psychiatry Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.