COLLEEN SHANNON HAGEMANN (NPI# 1609190636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609190636 |
| Entity Type | Individual |
| Full Name | COLLEEN SHANNON HAGEMANN |
| Credential | MD |
| Practice Address |
1426 Amelia St New Orleans LA 70115 |
| Mailing Address |
1426 Amelia St New Orleans LA 70115-3622 |
| Practice Telephone | 5049526322 |
| Practice Fax Number | 5048974876 |
| Mailing Telephone | 5049526322 |
| Mailing Fax Number | 5048974876 |
| Enumeration Date | 2010-03-19 |
| Last Update Date | 2019-01-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
MD.207083 | LA | Allopathic & Osteopathic Physicians |
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
MD.207083 | LA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1426 Amelia St, New Orleans, LA 70115 | 5049526322 | 5048974876 |
| Street Address |
1426 AMELIA ST |
| City | NEW ORLEANS |
| State | LA |
| Zip Code | 70115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568516979 | Judith L. Barnes-cochran | Counselor | 1426 Amelia St, New Orleans, LA 70115-3622 | 2007-01-22 |
| 1013472364 | Psychiatry Nola | Psychiatry & Neurology | 1426 Amelia St, New Orleans, LA 70115-3622 | 2019-01-31 |
| 1952763880 | Tonya Croll Fowler | Nurse Practitioner | 1426 Amelia St, New Orleans, LA 70115-3622 | 2016-03-21 |
| 1922236843 | Monique Maria Matherne | Psychologist | 1426 Amelia St, New Orleans, LA 70115 | 2009-06-30 |
| 1205047347 | Amy L Prudhomme | Social Worker | 1426 Amelia St, New Orleans, LA 70115-3622 | 2007-05-24 |
| 1255476537 | Kathryn Leigh Nathan | Psychologist | 1426 Amelia St, New Orleans, LA 70115-3622 | 2007-02-21 |
| 1326188772 | Stephen R Cochran | Psychiatry & Neurology | 1426 Amelia St, New Orleans, LA 70115-3622 | 2007-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063028223 | Michael C O'hara | Social Worker | 2016 Jena Street, New Orleans, LA 70115 | 2020-09-22 |
| 1972156487 | Allison Leigh Champagne | Advanced Practice Midwife | 4500 Clara St, New Orleans, LA 70115 | 2019-07-23 |
| 1558838151 | Ouida Francis Forsyth | Speech-Language Pathologist | 3317 Chestnut Street, New Orleans, LA 70115 | 2018-11-01 |
| 1689149551 | Uptown Pediatric Dentistry, LLC | Dentist | 3715 Prytania Street, Suite 380, New Orleans, LA 70115 | 2018-10-08 |
| 1396222188 | Leggio Dental Group, Apdc | Dentist | 4914 Magazine St., New Orleans, LA 70115 | 2018-07-24 |
| 1093202525 | Michael Anthony Bosco | Physical Therapist | 4500 Magazine St Ste 3, New Orleans, LA 70115 | 2018-04-19 |
| 1356854103 | Jencare Neighborhood Medical Metairie, LLC. | Non-Pharmacy Dispensing Site | Jencare Neighborhood Medical Center Uptown, 2820 Napoleon Avenue, Suite 590, New Orleans, LA 70115 | 2017-11-14 |
| 1669907879 | Quinton Franklin | Counselor | 2537 Marengo St, New Orleans, LA 70115 | 2017-04-25 |
| 1073050340 | Katy Elizabeth Thomassie | Case Manager/Care Coordinator | 1033 Marengo St, New Orleans, LA 70115 | 2017-01-25 |
| 1386187979 | John Perkins | Case Manager/Care Coordinator | 1926 Constantinople St., New Orleans, LA 70115 | 2016-11-30 |
| Find all providers in zip 70115 | ||||
| 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 |
|---|---|---|---|---|
| 1710305701 | Erin Prince | Psychiatry & Neurology | 1542 Tulane Ave Rm 238a, New Orleans, LA 70112-2865 | 2014-04-07 |
| 1952643736 | Maegen S Vincent | Psychiatry & Neurology | 131 South Robertson Street, 14th Floor, New Orleans, LA 70112 | 2013-03-20 |
| 1093090441 | Naomi Es Mann | Psychiatry & Neurology | 5010 Saint Charles Ave, New Orleans, LA 70115-4939 | 2011-10-17 |
| 1497048912 | Lauren Kaczka-weiss | Psychiatry & Neurology | 1440 Canal St # Tb52, New Orleans, LA 70112-2703 | 2011-05-17 |
| 1740508415 | Akanksha Thakur | Psychiatry & Neurology | 1430 Tulane Ave #8055, Tulane University School of Medicine, Child Psychiatry, New Orleans, LA 70112-0001 | 2010-05-05 |
| 1306003504 | Vininder Singh Khunkhun | Psychiatry & Neurology | 1440 Canal St # Tb33, Dept. of Psychiatry, New Orleans, LA 70112-2703 | 2008-05-16 |
| 1205031044 | Louisiana Youth Enhanced Services | Psychiatry & Neurology | 8 Versailles Blvd, New Orleans, LA 70125-4114 | 2007-06-20 |
| 1487859427 | Shaheena Virani | Psychiatry & Neurology | 925 Common St Apt 703, New Orleans, LA 70112-2336 | 2007-06-19 |
| 1902989833 | Morgan Bruce Feibelman | Psychiatry & Neurology | 400 Poydras St, Suite 1780, New Orleans, LA 70130-3245 | 2006-10-23 |
| 1992801096 | Mary Lynn Dell | Psychiatry & Neurology | 210 State St Bldg 11, New Orleans, LA 70118-5735 | 2006-09-15 |
| Find all providers in NEW ORLEANS | ||||
| City | NEW ORLEANS |
| Zip Code | 70115 |
Please comment or provide details below to improve the information on COLLEEN SHANNON HAGEMANN.
| 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.