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SHANNON HAGAN
NPI 1306219456
Psychologist - Clinical in Berkeley, CA

Active since November 10, 2015PECOS EnrolledAccepts Medicare Assignment
2397 SHATTUCK AVE, SUITE 206, BERKELEY, CA 94704(415) 967-0421 Get Directions Write a Review

NPPES record last updated: November 10, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shannon Hagan NPPES

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

SHANNON HAGAN (NPI 1306219456) is an individual clinical provider in Berkeley, California, licensed in California (PSY27814) and active in the NPI registry since November 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1306219456
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameSHANNON HAGAN
Location Address2397 SHATTUCK AVE, SUITE 206Berkeley, CA 94704-1567
Mailing Address4161 23rd StSan Francisco, CA 94114-3219 · (415) 967-0421
Phone(415) 967-0421
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateNovember 10, 2015
✔ NPI 1306219456 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 · PSY27814
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.
2397 SHATTUCK AVE, Berkeley, CA 94704
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Other Names 1

Other Name (5)Shannon Hagan Psyd

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shannon Hagan is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4587925557
PECOS Enrollment IDI20200930003352
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

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, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
418 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94704 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
$202.35 typical visit price
range $69.00 – $202.35
Typical copayment $50.58 (range $17.25 – $50.58)
Most-billed visit code 99205
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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 4

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

JENNIFER SIMPSON BIRCH PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
2397 SHATTUCK AVE, SUITE 206
BERKELEY, CA 94704
Alameda County (510) 599-9421
DR. MICHELLE JURKIEWICZ PSYD, MFT
Psychologist
2397 SHATTUCK AVE, SUITE 206
BERKELEY, CA 94704
Alameda County (510) 334-7023
MRS. ROBYN SUZANNE LENSING MATLON M.ED, M.A., PSY.D.
Psychologist (Clinical)
2397 SHATTUCK AVE, SUITE 206
BERKELEY, CA 94704
Alameda County (510) 295-2198
SUMANA KAIPA PSYD
Psychologist (Clinical)
2397 SHATTUCK AVE, SUITE 206
BERKELEY, CA 94704
Alameda County (510) 689-1051

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 Shannon Hagan's NPI number?

The NPI number for Shannon Hagan is 1306219456. It was assigned to this individual provider in the NPPES registry on November 10, 2015. The provider is also known as Shannon Hagan Psyd.

Where is Shannon Hagan located?

Shannon Hagan practices at 2397 Shattuck Ave Suite 206, Berkeley, CA 94704. The listed phone number is (415) 967-0421.

What is Shannon Hagan's specialty?

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

Is Shannon Hagan enrolled in Medicare?

Yes. Shannon Hagan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Shannon Hagan was last updated on November 10, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.