Active NPI
Sarah Elizabeth Hagin, PH.D.
- Clinical Child & Adolescent Psychologist
- Providence, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- Practice address
- 1 Hoppin St
Suite 204
Providence, RI 02903-4141 - Phone
- (401) 444-8945
- Fax
- (401) 444-8742
- NPI assigned
- Aug 25, 2011
- Last updated
- Sep 13, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | RI | Primary |
Addresses
Primary practice location
1 Hoppin St
Suite 204
Providence, RI 02903-4141
Mailing address
593 Eddy St
Apc 978
Providence, RI 02903-4923
Phone (401) 444-8945
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PS | Other | RI | PROFESSIONAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifespan Physician Group, Inc. | Clinical Child & Adolescent | Current | Accepting new patients |
| Lifespan Physician Group, Inc. | Current | Accepting new patients | |
| Lifespan Corporation | Current | Accepting new patients | |
| Rhode Island Hospital | Clinical Child & Adolescent | Current | Accepting new patients |
| Rhode Island Hospital | Current | Accepting new patients |
Locations
1 Hoppin St
Ste 204
Providence, RI 02903
Phone (401) 444-8945
117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318
593 Eddy St
Providence, RI 02903
593 Eddy St
#978
Providence, RI 02903
Phone (401) 444-4318
593 Eddy St
Rm 38
Providence, RI 02903
Phone (401) 444-4779
593 Eddy St
Ste 5
Providence, RI 02903
Phone (401) 444-3996
Interoperability endpoints
- shagin16583@brownhealth.medalliesdirect.net
Organizations & group practices 5
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 Brown Health Medical Group
- Psychiatry Physician
- Providence, RI
- NPI 1548506793
Clinical Child & Adolescent
-
- Pediatrics Physician
- Providence, RI
- NPI 1861420333
Clinical Child & Adolescent
-
- Children's Rehabilitation Hospital
- Providence, RI
- NPI 1790221232
-
dba Brown Health Medical Group
- Emergency Medicine Physician
- Providence, RI
- NPI 1568325678
-
- General Acute Care Hospital
- Providence, RI
- NPI 1972768174
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315872000000",
"number": "1821378662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "593 EDDY ST",
"address_2": "APC 978",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029034923",
"telephone_number": "401-444-8945",
"fax_number": "401-444-8742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 HOPPIN ST",
"address_2": "SUITE 204",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029034141",
"telephone_number": "401-444-8945",
"fax_number": "401-444-8742"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAGIN",
"first_name": "SARAH",
"middle_name": "ELIZABETH",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-25",
"last_updated": "2011-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "RI",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROFESSIONAL LICENSE",
"identifier": "PS",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2011; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.