Organization Active NPI

JT Bagen Enterprises Inc

  • Psychiatric/Mental Health Nurse Practitioner
  • Lancaster, NY
National Provider Identifier
1992846497
Registry record updated May 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F400997-1 Issued in NY
Legal business name
JT BAGEN ENTERPRISES INC
Practice address
4721 Transit Road
Suite 23
Lancaster, NY 14043
Phone
(716) 706-5921
Fax
(716) 706-5923
NPI assigned
Feb 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2008

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

Authorized official

Name
Mrs. Jenny T Bagen, PMHNP
Title
President
Phone
(716) 706-5921

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X F400997-1 NY Primary

Addresses

Primary practice location

4721 Transit Road
Suite 23
Lancaster, NY 14043

Mailing address

4721 Transit Road
Suite 23
Lancaster, NY 14043-3610
Phone (716) 706-5921

Other identifiers 1

IdentifierTypeStateIssuer
BA1013OtherNYOTHER PROVIDER MEDICARE IDENTIFIER

Other names 1

  • Transit Psychiatry Doing business as

National Provider Directory

National Provider Directory

Locations

4721 Transit Rd
Ste 23
Depew, NY 14043
Phone (716) 706-5921

571 Terrace Blvd
#201
Depew, NY 14043
Phone (716) 685-6730

4711 Transit Rd
Depew, NY 14043
Phone (716) 668-5331

4711 Transit Rd
Ste 3
Depew, NY 14043
Phone (716) 706-5921

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209945600000",
    "number": "1992846497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4721 TRANSIT ROAD",
            "address_2": "SUITE 23",
            "city": "LANCASTER",
            "state": "NY",
            "postal_code": "140433610",
            "telephone_number": "716-706-5921",
            "fax_number": "716-706-5923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4721 TRANSIT ROAD",
            "address_2": "SUITE 23",
            "city": "LANCASTER",
            "state": "NY",
            "postal_code": "14043",
            "telephone_number": "716-706-5921",
            "fax_number": "716-706-5923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JT BAGEN ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2008-05-05",
        "status": "A",
        "authorized_official_last_name": "BAGEN",
        "authorized_official_first_name": "JENNY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-706-5921",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F400997-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER PROVIDER MEDICARE IDENTIFIER",
            "identifier": "BA1013",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Transit Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lancaster, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; 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.