DR. SANDRA E. HARTDAGEN PH.D.
NPI 1013037860
Psychologist - Clinical in Glastonbury, CT

Active since March 29, 2007Opted out of Medicare · through Mar 20, 2027
148 EASTERN BLVD, GLASTONBURY, CT 06033(860) 652-3687 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Sandra E. Hartdagen Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SANDRA E. HARTDAGEN PH.D. (NPI 1013037860) is an individual clinical provider in Glastonbury, Connecticut, licensed in Connecticut (001580) and active in the NPI registry since March 2007. She has opted out of Medicare through March 20, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1013037860
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. SANDRA E. HARTDAGENCredential: PH.D.
Location Address148 EASTERN BLVDGlastonbury, CT 06033-4321
Mailing Address282 Oak StSouth Windsor, CT 06074-2342 · (860) 648-9400
Sole ProprietorYes
Enumeration DateMarch 29, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1013037860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in CT · 001580
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
148 EASTERN BLVD, Glastonbury, CT 06033

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Sandra E. Hartdagen Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 20, 2019 through March 20, 2027.

Opt-Out Effective DateMarch 20, 2019
Opt-Out In Effect ThroughMarch 20, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06033 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$183.10 typical visit price
range $60.82 – $183.10
Typical copayment $45.77 (range $15.20 – $45.77)
Most-billed visit code 99205
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker
148 EASTERN BLVD
GLASTONBURY, CT 06033
Pharmacist
148 EASTERN BLVD
GLASTONBURY, CT 06033
Pharmacy (Community/Retail Pharmacy)
148 EASTERN BLVD, SUITE 4
GLASTONBURY, CT 06033
Pharmacist
148 EASTERN BLVD, 400
GLASTONBURY, CT 06033
Marriage & Family Therapist
148 EASTERN BLVD
GLASTONBURY, CT 06033
Pharmacist
148 EASTERN BLVD
GLASTONBURY, CT 06033
Psychologist (Clinical Child & Adolescent)
148 EASTERN BLVD, SUITE 404
GLASTONBURY, CT 06033
Clinical Neuropsychologist
148 EASTERN BLVD, SUITE 306
GLASTONBURY, CT 06033

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sandra Hartdagen's NPI number?

The NPI number for Sandra Hartdagen is 1013037860. It was assigned to this individual provider in the NPPES registry on March 29, 2007.

Where is Sandra Hartdagen located?

Sandra Hartdagen practices at 148 Eastern Blvd, Glastonbury, CT 06033. The listed phone number is (860) 652-3687.

What is Sandra Hartdagen's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Sandra Hartdagen enrolled in Medicare?

No. Sandra Hartdagen has opted out of Medicare through March 20, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Sandra Hartdagen was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.