DR. KATHLEEN HAGINO PSYD
NPI 1083139927
Psychologist in Los Altos, CA

Active since August 11, 2017Opted out of Medicare · through Apr 1, 2028
4 MAIN ST STE 110, LOS ALTOS, CA 94022(650) 383-7655 Get Directions Write a Review

NPPES record last updated: August 11, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kathleen Hagino Psyd NPPES

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

DR. KATHLEEN HAGINO PSYD (NPI 1083139927) is an individual psychologist in Los Altos, California, licensed in California (PSY19528) and active in the NPI registry since August 2017. She has opted out of Medicare through April 1, 2028.

NPPES Registry Identity

NPI1083139927
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. KATHLEEN HAGINOCredential: PSYD
Location Address4 MAIN ST STE 110Los Altos, CA 94022-2931
Mailing Address4 Main St Ste 110Los Altos, CA 94022-2931 · (650) 383-7655
Sole ProprietorYes
Enumeration DateAugust 11, 2017
NPI 1083139927 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in CA · PSY19528
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
4 MAIN ST STE 110, Los Altos, CA 94022

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. Kathleen Hagino Psyd 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 April 1, 2016 through April 1, 2028.

Opt-Out Effective DateApril 1, 2016
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 3

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

Marriage & Family Therapist
4 MAIN ST STE 110
LOS ALTOS, CA 94022
Psychologist (Clinical Child & Adolescent)
4 MAIN ST STE 110
LOS ALTOS, CA 94022
Social Worker (Clinical)
4 MAIN ST STE 110
LOS ALTOS, CA 94022

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 Kathleen Hagino's NPI number?

The NPI number for Kathleen Hagino is 1083139927. It was assigned to this individual provider in the NPPES registry on August 11, 2017.

Where is Kathleen Hagino located?

Kathleen Hagino practices at 4 Main St Ste 110, Los Altos, CA 94022. The listed phone number is (650) 383-7655.

What is Kathleen Hagino's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Kathleen Hagino enrolled in Medicare?

No. Kathleen Hagino has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Kathleen Hagino was last updated on August 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.