Active NPI
Bridgette Hagarty
- Clinical Psychologist
- West Des Moines, IA
National Provider Identifier
1922245547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 082915
- Practice address
- 950 Office Park Rd
Ste 221
West Des Moines, IA 50265-2549 - Phone
- (515) 954-7610
- NPI assigned
- Jan 20, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 082915 | IA | Primary |
| Clinical Psychologist | 103TC0700X | 003300 | CT |
Addresses
Primary practice location
950 Office Park Rd
Ste 221
West Des Moines, IA 50265-2549
Mailing address
950 Office Park Rd
Ste 221
West Des Moines, IA 50265-2549
Phone (515) 954-7610
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 1, 2023 through Jul 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 082915 | IA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493769600000",
"number": "1922245547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "950 OFFICE PARK RD",
"address_2": "STE 221",
"city": "WEST DES MOINES",
"state": "IA",
"postal_code": "502652549",
"telephone_number": "515-954-7610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 OFFICE PARK RD",
"address_2": "STE 221",
"city": "WEST DES MOINES",
"state": "IA",
"postal_code": "502652549",
"telephone_number": "515-954-7610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAGARTY",
"first_name": "BRIDGETTE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-01-20",
"last_updated": "2017-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IA",
"license": "082915",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CT",
"license": "003300",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.