Colleen Shannon Hagemann, MD

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

MD.207083 Issued in LA

Practice address

1426 Amelia St
New Orleans, LA 70115

Phone

(504) 952-6322

Fax

(504) 897-4876

NPI assigned

Mar 19, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Psychiatry Nola

  • Child & Adolescent Psychiatry Physician
  • New Orleans, LA
  • NPI 1013472364
  NPD (past) Authorized official

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

{
    "created_epoch": "1268956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548892800000",
    "number": "1609190636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1426 AMELIA ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701153622",
            "telephone_number": "504-952-6322",
            "fax_number": "504-897-4876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1426 AMELIA ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "70115",
            "telephone_number": "504-952-6322",
            "fax_number": "504-897-4876"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1426 Amelia St",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "70115",
            "country_code": "US",
            "telephone_number": "504-952-6322",
            "fax_number": "504-897-4876",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAGEMANN",
        "first_name": "COLLEEN",
        "middle_name": "SHANNON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-19",
        "last_updated": "2019-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "LA",
            "license": "MD.207083",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "LA",
            "license": "MD.207083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aamna Abid Hafeez, DO
• Julie J Hagan, RD, LDN
• Kelly Hagan
• Nyha Hagan
• Christina Hagans, PLPC
• Michael Hagen, MD
• Michael Edward Hagensee, MD PHD
• Kameron Anderson Hagerla
• Petrina Haghverdian
• Brandon Ernest Hagler, DDS

• Child & Adolescent Psychiatry Physician in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Child & Adolescent Psychiatry Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.