Steven A. Kagel, PH.D.
Individual provider Active NPI Psychologist · Suffield, CT
NPI 1104987239 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1104987239
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 1250 (CT)
- Practice address
- 133 Mountain Rd
Suffield, CT 06078-2084 - Phone
- (860) 668-4342
- NPI assigned
- Dec 13, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1250 | CT | MD | Behavioral Analyst |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 1250 | CT | Yes |
Addresses
Primary practice location
133 Mountain Rd
Suffield, CT 06078-2084
Mailing address
133 Mountain Rd
Suffield, CT 06078-2084
Phone (860) 668-4342
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C0009465 | Other | CHAMPUS | |
| 133784 | Other | VALUE OPTIONS | |
| 184361 | Other | MANAGED HEALTH NETWORK | |
| 48047 | Other | CIGNA BEHABIORAL HEALTH | |
| 0600001250CT01 | Other | CT | ANTHEM BLUE CROSS BLUE SH |
| HAS230 | Other | OXFORD HEALTH PLANS |
Other providers in Suffield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.