Patricia (Tricia) Hager, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2016008725 Issued in MO

Practice address

4963 NE Goodview Cir Ste C
Lees Summit, MO 64064-2491

Phone

(816) 209-7716

Fax

(816) 477-3026

NPI assigned

Jan 5, 2024

Last updated

Jan 10, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Tricia Hager Professional name

Medicare fee-for-service enrollment

Enrolled in MO2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Clinical Psychologist

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Neurodiversity Clinic LLCGroup PAC ID 7416482088, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

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.

• Neurodiversity Clinic LLC

  dba The Neurodiversity Clinic

  • Clinical Neuropsychologist
  • Lee's Summit, MO
  • NPI 1053187716
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1704412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1932979499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4963 NE GOODVIEW CIR STE C",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640642491",
            "telephone_number": "660-441-1424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4963 NE GOODVIEW CIR STE C",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640642491",
            "telephone_number": "816-209-7716",
            "fax_number": "816-477-3026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGER",
        "first_name": "PATRICIA (TRICIA)",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-05",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "2016008725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRICIA",
            "last_name": "HAGER",
            "prefix": "DR.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Garret Christian Guthrie, DDS
• Melinda Lee Guyles, LCSW
• Karen Jean Haas, D.O.
• Brandy Dawn Haddock, LPC
• Joan Haffner
• Michelle Rose Hagey, DPT
• Christopher John Haggerty, DDS, MD
• Edward Richard Haggerty Jr., DDS
• Richard K. Haile, M.D.
• Rachel L Hailey, MD

• Clinical Psychologist in Lee's Summit, MO
• Providers in Lee's Summit, MO by specialty
• Clinical Psychologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.