DR. KIMBERLY HAGEN HAGEN PH.D.
NPI 1245369990
Psychologist - Clinical in Los Angeles, CA

Q: What is Kimberly Hagen's NPI number?

The NPI number for Kimberly Hagen is 1245369990. It was assigned to this individual provider in the NPPES registry on March 5, 2007.

Q: What is Kimberly Hagen's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kimberly Hagen 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.

Active since March 05, 2007PECOS Enrolled

12021 WILMINGTON AVE, TRAILER 6, LOS ANGELES, CA 90059(310) 668-6428 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Kimberly Hagen Hagen Ph.d. NPPES

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

DR. KIMBERLY HAGEN HAGEN PH.D. (NPI 1245369990) is an individual clinical provider in Los Angeles, California, licensed in California (16798) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1245369990

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. KIMBERLY HAGEN HAGENCredential: PH.D.

Location Address12021 WILMINGTON AVE, TRAILER 6Los Angeles, CA 90059-3019

Mailing Address400 Corporate Pointe, Suite 300Culver City, CA 90230-7615 · (310) 625-9256

Phone(310) 668-6428

Sole ProprietorNo

Medical School CMSOtherGraduated 1998

Enumeration DateMarch 5, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1245369990 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 CA · 16798

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.

12021 WILMINGTON AVE, Los Angeles, CA 90059

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

PECOS PAC ID941788913

PECOS Enrollment IDI20260130002921

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90059 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

$187.60 typical visit price

range $62.96 – $187.60

Typical copayment $46.90 (range $15.74 – $46.90)

Most-billed visit code 99205

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

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 20

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

DR. MARC D LEVY MD

Otolaryngology

12021 WILMINGTON AVE, DEPT OF OTOLARYNGOLOGY
LOS ANGELES, CA 90059

Los Angeles County (310) 668-4536

TINA M ROBINSON PA

Physician Assistant

12021 WILMINGTON AVE
LOS ANGELES, CA 90059

Los Angeles County (310) 668-4515

PEGGY ANNA DANIELS CADCII

Counselor (Addiction (Substance Use Disorder))

12021 WILMINGTON AVE
LOS ANGELES, CA 90059

Los Angeles County (818) 996-1051

BRANDON DORFMAN

Day Training/Habilitation Specialist

12021 WILMINGTON AVE, BUILDING 18 SUITE 4D
LOS ANGELES, CA 90059

Los Angeles County (626) 425-1305

DR. KEITH NORRIS MD

Internal Medicine

12021 WILMINGTON AVE
LOS ANGELES, CA 90059

Los Angeles County (310) 668-4515

MS. ZAHRA YAZDANI PA-C

Physician Assistant

12021 WILMINGTON AVE
LOS ANGELES, CA 90059

Los Angeles County (310) 668-4515

DR. LATANIA SCI M.D.

Internal Medicine

12021 WILMINGTON AVE
LOS ANGELES, CA 90059

Los Angeles County (702) 326-8726

COUNTY OF LOS ANGELES AUDITOR CONTROLLER

Clinic/Center

12021 WILMINGTON AVE
LOS ANGELES, CA 90059

Los Angeles County (310) 668-4501

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 Kimberly Hagen's NPI number?

The NPI number for Kimberly Hagen is 1245369990. It was assigned to this individual provider in the NPPES registry on March 5, 2007.

Where is Kimberly Hagen located?

Kimberly Hagen practices at 12021 Wilmington Ave Trailer 6, Los Angeles, CA 90059. The listed phone number is (310) 668-6428.

What is Kimberly Hagen's specialty?

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

Is Kimberly Hagen enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kimberly Hagen 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.