Active NPI
Annie Hagen
- School Psychologist
- Miami, FL
National Provider Identifier
1225746506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- SS1726
- Practice address
- 10300 Sunset Dr Ste 140
Miami, FL 33173-3038 - Phone
- (305) 302-4776
- NPI assigned
- Nov 7, 2022
- Last updated
- Nov 7, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | SS1726 | FL | Primary |
Addresses
Primary practice location
10300 Sunset Dr Ste 140
Miami, FL 33173-3038
Mailing address
103400 Overseas Hwy Ste 250
Key Largo, FL 33037-2831
Phone (305) 302-4776
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@myschoolpsychologistinc.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SS1726 | FL | MD | School Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| My School Psychologist, Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667779200000",
"number": "1225746506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103400 OVERSEAS HWY STE 250",
"city": "KEY LARGO",
"state": "FL",
"postal_code": "330372831",
"telephone_number": "305-302-4776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10300 SUNSET DR STE 140",
"city": "MIAMI",
"state": "FL",
"postal_code": "331733038",
"telephone_number": "305-302-4776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAGEN",
"first_name": "ANNIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-11-07",
"last_updated": "2022-11-07",
"certification_date": "2022-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "FL",
"license": "SS1726",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "info@myschoolpsychologistinc.com",
"affiliation": "N",
"address_1": "10300 Sunset Dr Ste 140",
"city": "Miami",
"state": "FL",
"country_code": "US",
"postal_code": "331733038",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.