DR. JAYNE D. HAGEN PH.D
NPI 1104087071
Clinical Neuropsychologist in Berkeley, CA

Q: What is Jayne Hagen's NPI number?

The NPI number for Jayne Hagen is 1104087071. It was assigned to this individual provider in the NPPES registry on June 23, 2008.

Q: What is Jayne Hagen's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Q: When was this NPI record last updated?

The NPPES record for Jayne Hagen was last updated on October 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since June 23, 2008PECOS Enrolled

1213 MASONIC AVE, BERKELEY, CA 94706(510) 778-4055 Get Directions Write a Review

NPPES record last updated: October 29, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 29, 2020, Apr 16, 2019, Mar 12, 2019 and 3 more (6 updates tracked since 2016).

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About Dr. Jayne D. Hagen Ph.d NPPES

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

DR. JAYNE D. HAGEN PH.D (NPI 1104087071) is an individual clinical neuropsychologist in Berkeley, California, licensed in California (PSY22689) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS and maintains a secondary practice location in Los Angeles.

NPPES Registry Identity

NPI1104087071

Entity TypeIndividualFemale

Primary Taxonomy103G00000X

Provider Legal NameDR. JAYNE D. HAGENCredential: PH.D

Location Address1213 MASONIC AVEBerkeley, CA 94706

Mailing Address1213 Masonic AveBerkeley, CA 94706-2329 · (510) 778-4055

Phone(510) 778-4055

Sole ProprietorNo

Enumeration DateJune 23, 2008

Last NPPES UpdateOctober 29, 20206 updates tracked since enumeration

NPPES CertifiedOctober 29, 2020

✔ NPI 1104087071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

License✔ Licensed in CA · PSY22689

Definition

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.

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License PSY22689 (CA)

1213 MASONIC AVE, Berkeley, CA 94706

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Secondary Practice Location 1

Location 111835 W Olympic Blvd Ste 1265ELos Angeles, CA 90064 · Phone (310) 273-4843 · Fax (310) 273-5056

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jayne D. Hagen Ph.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 30 minutes 90832

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.

187 services52 patients

Care management services for behavioral health conditions, 20 minutes or more clinical staff time directed by health care professional 99484

Care management for behavioral health involves a healthcare professional directing clinical staff to provide you with support for 20 minutes or more. This service can include planning your care, coordinating services, and managing your health conditions to improve your overall well-being.

164 services52 patients

Evaluation of neuropsychological test, each additional hour 96133

This service involves further evaluation of your neuropsychological test results beyond the initial hour. It helps to understand your cognitive functioning better, focusing on areas like memory, attention, and problem-solving skills.

106 services21 patients

Psychiatric diagnostic evaluation 90791

A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.

67 services67 patients

Exam of neurobehavioral status, each additional hour 96121

This procedure involves a thorough evaluation of your neurobehavioral status, focusing on brain functions that affect behavior and cognition. It's extended for an additional hour to gather more detailed information about your neurological health.

42 services20 patients

Administration of psychological or neuropsychological test, each additional 30 minutes 96137

This procedure involves administering psychological or neuropsychological tests to evaluate your mental functions. Each additional 30 minutes allows for a more in-depth assessment of your cognitive abilities, emotions, and behavior. It's crucial for accurate diagnosis and treatment planning.

42 services20 patients

Other Providers at the Same Location NPPES

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

JAYNE D HAGEN

Clinical Neuropsychologist

1213 MASONIC AVE
BERKELEY, CA 94706

Alameda County (510) 778-4055

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 Jayne Hagen's NPI number?

The NPI number for Jayne Hagen is 1104087071. It was assigned to this individual provider in the NPPES registry on June 23, 2008.

Where is Jayne Hagen located?

Jayne Hagen practices at 1213 Masonic Ave, Berkeley, CA 94706. The listed phone number is (510) 778-4055.

What is Jayne Hagen's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Jayne Hagen enrolled in Medicare?

Yes. Jayne Hagen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jayne Hagen was last updated on October 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.