Individual provider Active NPI

Hope Beth Bagley, PHD; LCP; LPC

  • Clinical Neuropsychologist
  • Charlottesville, VA
National Provider Identifier
1144312273
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
0810000174 Issued in VA
Practice address
690 Berkmar Cir Ste 3
Charlottesville, VA 22901-1464
Phone
(434) 227-7288
NPI assigned
Sep 28, 2006
Last updated
Jan 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701001568 VA
Clinical Neuropsychologist 103G00000X 0810000174 VA Primary

Addresses

Primary practice location

690 Berkmar Cir Ste 3
Charlottesville, VA 22901-1464

Mailing address

536 Pantops Ctr # 250
Charlottesville, VA 22911-8665
Phone (434) 760-5334

Other identifiers 2

IdentifierTypeStateIssuer
7266244OtherAETNA
7714904MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070517000140 VA Practitioner - Clinical Psychologist 4981701752 Practice locations: Charlottesville, VA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

690 Berkmar Cir
Suite 3
Charlottesville, VA 22901-1464
Phone (434) 227-7288

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
0701001568VAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1144312273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "536 PANTOPS CTR # 250",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229118665",
            "telephone_number": "434-760-5334",
            "fax_number": "434-977-6323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 BERKMAR CIR STE 3",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229011464",
            "telephone_number": "434-227-7288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGLEY",
        "first_name": "HOPE",
        "middle_name": "BETH",
        "name_prefix": "Dr.",
        "credential": "PHD; LCP; LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701001568",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "VA",
            "license": "0810000174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7266244",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7714904",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

Verify at the official NPI Registry.