JODY LYNN HAGEN PhD
NPI 1962405563
Clinical Neuropsychologist in Springfield,


Quality Rating: 100 out of 100 score

NPI Status: Active since May 27, 2005

Contact Information

2115 S Fremont Ave Ste 3000
Springfield,
Post Code: 65804
Phone: (417) 820-7708
Fax: -

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Jody Lynn Hagen Phd in Springfield - Clinical Neuropsychologist

Jody Lynn Hagen Phd is a Clinical Neuropsychologist in Springfield, . Jody Lynn Hagen Phd practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Jody Lynn Hagen Phd is 1962405563. The last update date is 2022-09-07.

Jody Lynn Hagen Phd's current location address is 2115 S Fremont Ave Ste 3000, Springfield, . You can contact this provider via phone number (417) 820-7708 and fax number -. The mailing address for Jody Lynn Hagen Phd is 2115 S Fremont Ave Ste 3000, Springfield, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1962405563
Provider Name
JODY LYNN HAGEN PhD
Gender
Female
Entity Type
Individual
Location Address
2115 S Fremont Ave Ste 3000, Springfield,
Location Phone
(417) 820-7708
Location Fax
-
Mailing Address
2115 S Fremont Ave Ste 3000, Springfield, Missouri(MO)
Mailing Phone
417-820-7708
Mailing Fax
-
Enumeration Date
2005-05-27
Last Update Date
2022-09-07
Code Navigator

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinical Neuropsychologist

Taxonomy Code
103G00000X
Type
-
License No.
2006010348
License State
Missouri (MO)
Taxonomy Description
-

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
5Y075 Other (non-Medicare) (01) Arkansas (AR) BLUE CROSS/BLUE SHIELD

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1962405563
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
291228010512
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 291228010512
2 + 9 + 1 + 2 + 2 + 8 + 0 + 1 + 0 + 5 + 1 + 2 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 3 3

The NPI number 1962405563 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1205839354 EMIL A DIFILIPPO
Individual
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O FALLON, Missouri (MO)
636-561-5030
1477556405 CHARLES M LINSENMEYER
Individual
Orthopaedic Surgery 9323 PHOENIX VILLAGE PKWY
O FALLON, Missouri (MO)
636-561-5030
1366445314 KEVIN A NETTESHEIM
Individual
Podiatrist, Foot & Ankle Surgery 4305 BUTLER HILL RD STE B
SAINT LOUIS, Missouri (MO)
314-849-9009
1801899851 ROBERT E FERRIS
Individual
Specialist PO BOX 104240
JEFFERSON CITY, Missouri (MO)
573-556-7717
1760485718 BRIAN T STEPHENS
Individual
Specialist 1241 W STADIUM BLVD
JEFFERSON CITY, Missouri (MO)
573-636-5248