Individual provider Active NPI

Hayden A Duggan, ED.D.

  • Psychologist
  • Gardner, MA
National Provider Identifier
1669607503
Registry record updated May 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2650 Issued in MA
Practice address
216 Mill St
Gardner, MA 01440-3293
Phone
(978) 632-3518
Fax
(978) 630-3987
NPI assigned
May 21, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 2650 MA Primary

Addresses

Primary practice location

216 Mill St
Gardner, MA 01440-3293

Mailing address

P.O. Box 1031
Gardner, MA 01440-6031
Phone (978) 632-3518

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20160627000739 MA Practitioner - Clinical Psychologist 0244521037 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Labyrinth Psychological Services, P.C.Group PAC ID 5597062877, 3 clinicians

Practice addresses (Care Compare)

800 Main St
Holden, MA 01520-1838
Phone (508) 797-7110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Labyrinth Psychological Services, P.C. CurrentSince Jun 1, 2016 Accepting new patients
Gardner Group, Inc Psychologist Past Accepting new patients

Locations

800 Main St
Holden, MA 01520
Phone (508) 797-7110

Organizations & group practices 2

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": "1242864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242864000000",
    "number": "1669607503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1031",
            "city": "GARDNER",
            "state": "MA",
            "postal_code": "014406031",
            "telephone_number": "978-632-3518",
            "fax_number": "978-630-3987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 MILL ST",
            "city": "GARDNER",
            "state": "MA",
            "postal_code": "014403293",
            "telephone_number": "978-632-3518",
            "fax_number": "978-630-3987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUGGAN",
        "first_name": "HAYDEN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "ED.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-21",
        "last_updated": "2009-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "2650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardner, MA

Sources for this page

Verify at the official NPI Registry.