Individual provider Active NPI

Rachel Hagerty, LLP

  • Clinical Psychologist
  • Rochester Hills, MI
National Provider Identifier
1831422880
Registry record updated Nov 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301014062 Issued in MI
Practice address
200 Diversion St Ste 150
Rochester Hills, MI 48307-2207
Phone
(586) 557-0162
NPI assigned
Sep 9, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6301014062 MI Primary

Addresses

Primary practice location

200 Diversion St Ste 150
Rochester Hills, MI 48307-2207

Mailing address

200 Diversion St Ste 150
Rochester Hills, MI 48307-2207
Phone (586) 557-0162

Other practice location 1

1202 Walton Blvd
Suite 212
Rochester Hills, MI 48307-6917
Phone (248) 650-8383

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
6301014062MIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hagerty Psychological Services Current Accepting new patients

Locations

200 Diversion St
#150
Rochester Hills, MI 48307
Phone (248) 370-8164

Organizations & group practices 1

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": "1252454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574121600000",
    "number": "1831422880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 DIVERSION ST STE 150",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483072207",
            "telephone_number": "586-557-0162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 DIVERSION ST STE 150",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483072207",
            "telephone_number": "586-557-0162"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1202 Walton Blvd",
            "address_2": "Suite 212",
            "address_purpose": "LOCATION",
            "city": "Rochester Hills",
            "state": "MI",
            "postal_code": "483076917",
            "country_code": "US",
            "telephone_number": "248-650-8383",
            "fax_number": "248-650-4343",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAGERTY",
        "first_name": "RACHEL",
        "credential": "LLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-09",
        "last_updated": "2019-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301014062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.