Individual provider Active NPI

Daniela L Hagen

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • Ann Arbor, MI
National Provider Identifier
1336859198
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X
License
4704304772 Issued in MI
Practice address
4350 Jackson Rd Ste 300
Ann Arbor, MI 48103-1889
Phone
(800) 777-3166
Fax
(800) 279-1076
NPI assigned
Dec 1, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 4704304772 MI
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4704304772 MI
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X 4704304772 MI Primary
Child & Adolescent Psychiatric/Mental Health Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WP0807X 4704304772 MI
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1167889 TX

Addresses

Primary practice location

4350 Jackson Rd Ste 300
Ann Arbor, MI 48103-1889

Mailing address

29500 Southfield Rd
Southfield, MI 48076-2030
Phone (248) 765-1795

Other practice location 1

5401 McAuley Dr
Ypsilanti, MI 48197-1011
Phone (734) 786-2300

Other practice location 2

290 Town Center Dr Ste 141
Dearborn, MI 48126-2739
Phone (832) 869-4818

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, IN, TN, TX, VA, FL, WA7 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 7

Enrollment IDStateProvider typePAC IDDetails
I20240405000790 MI Practitioner - Nurse Practitioner 3779921069 Reassigns benefits to 2 organizations
I20240918002840 IN Practitioner - Nurse Practitioner 3779921069 Reassigns benefits to 3 organizations
I20250516002282 TN Practitioner - Nurse Practitioner 3779921069 Reassigns benefits to 2 organizations
I20250516003230 TX Practitioner - Nurse Practitioner 3779921069 Reassigns benefits to 2 organizations
I20250520002527 VA Practitioner - Nurse Practitioner 3779921069 Reassigns benefits to 2 organizations
I20250605001277 FL Practitioner - Nurse Practitioner 3779921069 Reassigns benefits to 3 organizations
I20250808002669 WA Practitioner - Nurse Practitioner 3779921069 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psychiatry of Texas PLLCGroup PAC ID 0345573598, 418 clinicians
Psychplus Associates of Michigan, PLLCGroup PAC ID 7911345764, 26 clinicians

Practice addresses (Care Compare)

1303 SE Broad St
Murfreesboro, TN 37130-5652
Phone (832) 869-4818

2220 Edward Holland Dr
Richmond, VA 23230-2519
Phone 8328694818235

4700 N Habana Ave
Suite 601
Tampa, FL 33614-7160
Phone 8328694818235

509 Olive Way
Suite 1259 12TH Floor
Seattle, WA 98101-1745
Phone 8328694818235

5901 Chase Rd
Suite 210
Dearborn, MI 48126-0900
Phone (832) 869-4818

6720 Parkdale PL
Indianapolis, IN 46254-4668
Phone 8328694818235

7877 Willow Chase Blvd
Houston, TX 77070-5934
Phone 8328694818235

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1167889TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Psychplus Medical Associates of Michigan, PLLC Single Specialty CurrentSince Dec 9, 2024 Accepting new patients
Psychiatry of Texas PLLC Single Specialty CurrentSince Sep 1, 2024 Accepting new patients
Psychplus Associates of Michigan, PLLC Single Specialty CurrentSince Mar 2, 2024 Accepting new patients
Psychplus Medical Associates, PLLC Single Specialty CurrentSince Apr 1, 2025 Accepting new patients

Locations

250 2nd St E
Ste 4C
Bradenton, FL 34208
Phone (941) 744-5860

6700 Winkler Rd
Ste 4
Fort Myers, FL 33919
Phone 8328694818 ext. 235

5995 SE Community Dr
Stuart, FL 34997
Phone (727) 424-3427

4700 N Habana Ave
Ste 601
Tampa, FL 33614
Phone (201) 706-1143

1200 Winder Hwy
Dacula, GA 30019
Phone (404) 474-8704

1301 Shiloh Rd NW
Ste 1810
Kennesaw, GA 30144
Phone (470) 428-7087

6720 Parkdale Pl
Indianapolis, IN 46254
Phone (219) 648-2400

8240 Naab Rd
Ste 360
Indianapolis, IN 46260
Phone (317) 297-3338

126 College St
Ste A
Battle Creek, MI 49037
Phone (269) 969-6000

290 Town Center Dr
Ste 141
Dearborn, MI 48126

15400 Michigan Ave
Ste 1
Dearborn, MI 48126
Phone (313) 207-5767

5901 Chase Rd
Ste 210
Dearborn, MI 48126
Phone (313) 945-6650

3512 Coolidge Rd
East Lansing, MI 48823
Phone (517) 318-5889

1717 Shaffer St
Ste 209
Kalamazoo, MI 49048
Phone (269) 342-2991

3343 Perimeter Hill Dr
Ste 214
Nashville, TN 37211
Phone (951) 440-8989

12180 N Mopac Expy
Ste B
Austin, TX 78758
Phone (512) 836-4999

12221 Merit Dr
Ste 450
Dallas, TX 75251
Phone (214) 217-1900

2110 W Trenton Rd
Ste A
Edinburg, TX 78539
Phone (956) 289-8200

1801 N Oregon St
El Paso, TX 79902
Phone (409) 883-9361

3100 Alliance Town Ctr
Fort Worth, TX 76177
Phone (409) 938-5166

7877 Willow Chase Blvd
Houston, TX 77070
Phone 8328694818109

23838 Highway 59 N
Kingwood, TX 77339
Phone (832) 869-4814

2220 Edward Holland Dr
Richmond, VA 23230
Phone (804) 678-7000

509 Olive Way
Ste 1259
Seattle, WA 98101
Phone (206) 624-5355

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1669852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1336859198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29500 SOUTHFIELD RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480762030",
            "telephone_number": "248-765-1795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4350 JACKSON RD STE 300",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481031889",
            "telephone_number": "800-777-3166",
            "fax_number": "800-279-1076"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5401 McAuley Dr",
            "address_purpose": "LOCATION",
            "city": "Ypsilanti",
            "state": "MI",
            "postal_code": "481971011",
            "country_code": "US",
            "telephone_number": "734-786-2300",
            "fax_number": "734-786-4915",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "290 Town Center Dr Ste 141",
            "address_purpose": "LOCATION",
            "city": "Dearborn",
            "state": "MI",
            "postal_code": "481262739",
            "country_code": "US",
            "telephone_number": "832-869-4818",
            "fax_number": "832-241-2902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAGEN",
        "first_name": "DANIELA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-01",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704304772",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704304772",
            "primary": false
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "MI",
            "license": "4704304772",
            "primary": true
        },
        {
            "code": "163WP0807X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "MI",
            "license": "4704304772",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1167889",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.