Active NPI
Dennis Patrick Hagerty, M.A.
- Marriage & Family Therapist
- Lancaster, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 80448
- Practice address
- 43807 10TH St W Ste D
Lancaster, CA 93534-4805 - Phone
- (661) 575-9365
- NPI assigned
- May 29, 2007
- Last updated
- Feb 20, 2020
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 80448 | CA | Primary |
Addresses
Primary practice location
43807 10TH St W Ste D
Lancaster, CA 93534-4805
Mailing address
447 N El Molino Ave
Pasadena, CA 91101-1403
Phone (626) 577-8480
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 1994
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
43807 10TH St W
Suite D
Lancaster, CA 93534-4805
Phone (661) 575-9365
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heritage Clinic and the Community Assistance Program for Seniors | Current | Accepting new patients | |
| Heritage Clinic and the Community Assistance Program for Seniors | Current | Accepting new patients | |
| Children and Family Center | Past | Accepting new patients |
Locations
43807 10th St W
Ste D
Lancaster, CA 93534
Phone (661) 575-9365
1037 W Avenue N
Ste 205
Palmdale, CA 93551
Phone (661) 575-9365
447 N El Molino Ave
Pasadena, CA 91101
Phone (626) 577-8480
Organizations & group practices 3
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.
-
dba Heritage Clinic Comm for Seniors
- Clinical Psychologist
- Pasadena, CA
- NPI 1306899091
-
- Community/Behavioral Health Agency
- Santa Clarita, CA
- NPI 1811106214
-
dba Heritage Los Angeles
- Clinical Psychologist
- Los Angeles, CA
- NPI 1093049546
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582156800000",
"number": "1447451372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "447 N EL MOLINO AVE",
"city": "PASADENA",
"state": "CA",
"postal_code": "911011403",
"telephone_number": "626-577-8480",
"fax_number": "626-577-8978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43807 10TH ST W STE D",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935344805",
"telephone_number": "661-575-9365"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAGERTY",
"first_name": "DENNIS",
"middle_name": "PATRICK",
"name_prefix": "Mr.",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-29",
"last_updated": "2020-02-20",
"certification_date": "2020-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "80448",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lancaster, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.