Active NPI
Harriet O Hagan
- Psychiatry Physician
- New York, NY
National Provider Identifier
1932279973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 164169
- Practice address
- 248 W 108TH St
New York, NY 10025-2956 - Phone
- (212) 663-3000
- NPI assigned
- Nov 8, 2006
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 164169 | NY | Primary |
Addresses
Primary practice location
248 W 108TH St
New York, NY 10025-2956
Mailing address
18 W 70TH St
Apartment 1B
New York, NY 10023-4602
Phone (212) 799-6579
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19FO932631 | Other | NY | MEDICARE-UNSPECIFIED |
| 01133393 | Medicaid | NY |
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
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quarry Road Emergency Services P.C. | Past | Accepting new patients | |
| The Bridge, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Emergency Medicine Physician
- Bronx, NY
- NPI 1134238199
-
- Community/Behavioral Health Agency
- New York, NY
- NPI 1831269315
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360022400000",
"number": "1932279973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 W 70TH ST",
"address_2": "APARTMENT 1B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100234602",
"telephone_number": "212-799-6579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "248 W 108TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100252956",
"telephone_number": "212-663-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O HAGAN",
"first_name": "HARRIET",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-08",
"last_updated": "2013-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "164169",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE-UNSPECIFIED",
"identifier": "19FO932631",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01133393",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.