Organization Active NPI

Hope Therapy, P.C.

  • Clinical Psychologist
  • Mount Vernon, IA
National Provider Identifier
1821703612
Registry record updated Mar 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
HOPE THERAPY, P.C.
Practice address
101 1/2 1St St NW Ste 3
Mount Vernon, IA 52314-1602
Phone
(319) 535-3040
NPI assigned
Jan 17, 2023
Last updated
Mar 15, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2023

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

Authorized official

Name
Dr. Christopher Ryan Hagan, PHD, LP, HSPNPI 1285226746
Title
Director/Psychologist
Phone
(319) 535-3040

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X NU Primary
Forensic Psychologist 103TF0200X NU

Addresses

Primary practice location

101 1/2 1St St NW Ste 3
Mount Vernon, IA 52314-1602

Mailing address

302 E 2ND Ave
Lisbon, IA 52253-9788
Phone (714) 661-9683

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230710001435 IA Part B Supplier - Clinic/Group Practice 4284093295 Receives reassigned benefits from 1 practitioner
Practice locations: Mount Vernon, IA

National Provider Directory

National Provider Directory

Locations

101 1st St NW
Ste 3
Mount Vernon, IA 52314
Phone (319) 535-3040

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1673913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678838400000",
    "number": "1821703612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 E 2ND AVE",
            "city": "LISBON",
            "state": "IA",
            "postal_code": "522539788",
            "telephone_number": "714-661-9683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 1/2 1ST ST NW STE 3",
            "city": "MOUNT VERNON",
            "state": "IA",
            "postal_code": "523141602",
            "telephone_number": "319-535-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE THERAPY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-17",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A",
        "authorized_official_last_name": "HAGAN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "DIRECTOR/PSYCHOLOGIST",
        "authorized_official_telephone_number": "319-535-3040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LP, HSP"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.