Individual provider Active NPI

Paul Hagan, M.S.

  • Counseling Psychologist
  • Los Angeles, CA
National Provider Identifier
1811446198
Registry record updated Sep 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
Practice address
221 Westwood PLZ
Box 951556 Mailbox Code: 155606
Los Angeles, CA 90095-1556
Phone
(310) 825-0768
Fax
(310) 206-7365
NPI assigned
Sep 27, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X Primary

Addresses

Primary practice location

221 Westwood PLZ
Box 951556 Mailbox Code: 155606
Los Angeles, CA 90095-1556

Mailing address

221 Westwood PLZ
Box 951556 Mailbox Code: 155606
Los Angeles, CA 90095-1556
Phone (310) 825-0768

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1474934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474934400000",
    "number": "1811446198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 WESTWOOD PLZ",
            "address_2": "BOX 951556 MAILBOX CODE: 155606",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900951556",
            "telephone_number": "310-825-0768",
            "fax_number": "310-206-7365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 WESTWOOD PLZ",
            "address_2": "BOX 951556 MAILBOX CODE: 155606",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900951556",
            "telephone_number": "310-825-0768",
            "fax_number": "310-206-7365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGAN",
        "first_name": "PAUL",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-27",
        "last_updated": "2016-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2016; 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.