DR. JEAN C HAGEN (NPI# 1104012293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104012293 |
| Entity Type | Individual |
| Full Name | DR. JEAN C HAGEN |
| Credential | M.D. |
| Practice Address |
915 River Rd Middletown CT 06457-3921 |
| Mailing Address |
79 Hamilton Dr Berlin CT 06037-2404 |
| Practice Telephone | 8607044067 |
| Mailing Telephone | 8607044198 |
| Enumeration Date | 2007-09-21 |
| Last Update Date | 2007-09-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
027782 | CT | Allopathic & Osteopathic Physicians |
| Street Address |
915 RIVER RD |
| City | MIDDLETOWN |
| State | CT |
| Zip Code | 06457-3921 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760450886 | E Spencer Joslin | Family Medicine | 915 River Rd, Middletown, CT 06457-3921 | 2006-03-14 |
| 1356781710 | Yun Feng | Psychiatry & Neurology | 915 River Rd, Middletown, CT 06457-3921 | 2013-07-01 |
| 1952531774 | Vincenza Domijan | Occupational Therapist | 915 River Rd, Middletown, CT 06457-3921 | 2009-07-15 |
| 1194945634 | Phyllis Ann Beveridge | Nurse Practitioner | 915 River Rd, Middletown, CT 06457-3921 | 2007-04-26 |
| 1497882211 | Debra Ann Brown | Pediatrics | 915 River Rd, Middletown, CT 06457-3921 | 2007-02-28 |
| 1356484794 | Bhagyalakshmi Reddy | Psychiatry & Neurology | 915 River Rd, Middletown, CT 06457 | 2007-02-15 |
| 1457497083 | Akashdeep Aujla | Psychiatry & Neurology | 915 River Rd, Middletown, CT 06457-3921 | 2007-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699391961 | Meghan Harrington | Behavior Technician | 101 Centerpoint Drive #243, Middletown, CT 06457 | 2020-06-22 |
| 1427619626 | Collaborative Aba Services, LLC | Behavioral Analyst | 515 Centerpoint Drive, Suite 205, Middletown, CT 06457 | 2019-06-27 |
| 1376100339 | Kimberly Tynik | Pharmacist | 451 Fowler Ave, Middletown, CT 06457 | 2019-05-24 |
| 1184101263 | Tabrez Adil | Dentist | 675 Main St., Middletown, CT 06457 | 2018-07-23 |
| 1326535337 | Rehan Khan | Non-emergency Medical Transport (VAN) | 765 Country Club Rd, Middletown, CT 06457 | 2018-04-16 |
| 1366950206 | State of Connecticut | Psychiatric Hospital | 70 O'brien Drive, Middletown, CT 06457 | 2018-01-12 |
| 1902324536 | Cynthia Tine | Physical Therapy Assistant | 628 Congdon Street, Middletown, CT 06457 | 2017-09-04 |
| 1619494390 | Nathan Douglas Roy | Specialist/Technologist | 431 Briarwood Lane, Middletown, CT 06457 | 2017-08-24 |
| 1598286502 | Rachel Hoffman Whelen | Registered Nurse | 420 Saybrook Road, Suite A, Middletown, CT 06457 | 2017-06-29 |
| 1003358326 | Rebecca Rotondo | Social Worker | 230 Main Street Extension, Act Team, Gilead Community Services, Middletown, CT 06457 | 2016-11-17 |
| Find all providers in zip 06457 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285841353 | George David Shapiro Weiss | Psychiatry & Neurology | 7 Spring Street, Middletown, CT 06457 | 2007-05-17 |
| 1811967672 | Daniel Richard Weis | Psychiatry & Neurology | 1131 Manchester Ave, Middletown, OH 45042-1925 | 2006-01-25 |
| 1356781710 | Yun Feng | Psychiatry & Neurology | 915 River Rd, Middletown, CT 06457-3921 | 2013-07-01 |
| 1518165232 | Lisa Karabelnik | Psychiatry & Neurology | 770 Saybrook Rd, Building B, Middletown, CT 06457-4739 | 2007-07-03 |
| 1184832750 | Andrea C Ribier | Psychiatry & Neurology | 4464 S Dixie Hwy, Middletown, OH 45005-5464 | 2007-05-18 |
| 1285850982 | Charles Rich Jr. | Psychiatry & Neurology | 635 Main St, Middletown, CT 06457-2718 | 2007-04-18 |
| 1710013834 | Peter Zorach | Psychiatry & Neurology | 495 E Main St, Middletown, DE 19709-1463 | 2007-02-25 |
| 1356484794 | Bhagyalakshmi Reddy | Psychiatry & Neurology | 915 River Rd, Middletown, CT 06457 | 2007-02-15 |
| 1457497083 | Akashdeep Aujla | Psychiatry & Neurology | 915 River Rd, Middletown, CT 06457-3921 | 2007-01-30 |
| 1063420479 | Paul Sadowitz | Psychiatry & Neurology | 635 Main St, Middletown, CT 06457-2718 | 2006-08-03 |
| Find all providers in MIDDLETOWN | ||||
| City | MIDDLETOWN |
| Zip Code | 06457 |
Please comment or provide details below to improve the information on DR. JEAN C HAGEN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.