Christopher Ryan Hagan, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

098482 Issued in IA

Practice address

302 E 2ND Ave
Lisbon, IA 52253-9788

Phone

(319) 535-3040

NPI assigned

Feb 6, 2021

Last updated

Jan 10, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

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.

• Hope Therapy, P.C.

  • Clinical Psychologist
  • Mount Vernon, IA
  • NPI 1821703612
  Medicare reassignment NPD Authorized official
• Green Counseling Services PLLC

  • Mental Health Counselor
  • Coralville, IA
  • NPI 1528564762
  NPD (past)

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

{
    "created_epoch": "1612569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1285226746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 E 2ND AVE",
            "city": "LISBON",
            "state": "IA",
            "postal_code": "522539788",
            "telephone_number": "714-661-9673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 E 2ND AVE",
            "city": "LISBON",
            "state": "IA",
            "postal_code": "522539788",
            "telephone_number": "319-535-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGAN",
        "first_name": "CHRISTOPHER",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-06",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IA",
            "license": "098482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abcm Corporation
• Balance and Bloom Therapy
• Ann Davidshofer
• Randall L Hinrichs, MD
• Lisbon Community School District
• Lisbon Ia Skilled Nursing Facility, LLC
• Nolz Chiropractic Clinic PC
• Jared Christopher Nolz, D.C.

• Clinical Psychologist in Lisbon, IA
• Providers in Lisbon, IA by specialty
• Clinical Psychologist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; 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.