DR. JAYNE D. HAGEN PH.D NPI 1104087071

NPI Information

  • NPI: 1104087071
  • Provider Name: DR. JAYNE D. HAGEN, PH.D
  • Classification: Clinical Neuropsychologist - 103G00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1213 MASONIC AVE
    BERKELEY, CA
    ZIP 94706
  • Phone: (510) 778-4055

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NPI Details

DR. Jayne D. Hagen, PH.D is a clinical neuropsychologist in Berkeley, CA. The provider is a clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. DR. Jayne D. Hagen, PH.D NPI is 1104087071. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1213 MASONIC AVE
BERKELEY, CA
ZIP 94706
Phone: (510) 778-4055

The NPI 1104087071 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Psychotherapy, 30 minutes (HCPCS:90832)
  • Evaluation of neuropsychological test, each additional hour (HCPCS:96133)
  • Care management services for behavioral health conditions, 20 minutes or more clinical staff time directed by health care professional (HCPCS:99484)
  • Exam of neurobehavioral status, each additional hour (HCPCS:96121)
  • Administration of psychological or neuropsychological test, each additional 30 minutes (HCPCS:96137)
  • Evaluation of neuropsychological test, first hour (HCPCS:96132)
  • Psychiatric services complicated by communication factor (HCPCS:90785)
  • Psychiatric diagnostic evaluation (HCPCS:90791)
  • Exam of neurobehavioral status, first hour (HCPCS:96116)
  • Administration of psychological or neuropsychological test, first 30 minutes (HCPCS:96136)
  • Psychotherapy, 45 minutes (HCPCS:90834)
  • Psychotherapy, 1 hour (HCPCS:90837)

The enumeration date for this NPI number is 6/23/2008 and was last updated on 10/29/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103G00000XClinical NeuropsychologistPSY22689CALIFORNIAYes
2103TC0700XPsychologistClinicalPSY22689CALIFORNIANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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