ALAN KYLE HAGSTROM (NPI# 1619947801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619947801 |
| Entity Type | Individual |
| Full Name | ALAN KYLE HAGSTROM |
| Credential | MD |
| Practice Address |
1415 Panther Ln Naples FL 34109-7874 |
| Mailing Address |
250 Park Shore Dr Apt 202 Naples FL 34103-3440 |
| Practice Telephone | 2394043379 |
| Mailing Telephone | (239) 404-3379 |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | 23903 | AZ | Allopathic & Osteopathic Physicians |
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
ME114651 | FL | Allopathic & Osteopathic Physicians |
| N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
ME114651 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 436601 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1845 Veterans Park Dr, Ste 101, Naples, FL 341090493 | 2392540986 |
| Street Address |
1415 PANTHER LN |
| City | NAPLES |
| State | FL |
| Zip Code | 34109-7874 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013428002 | Kent Christian Fenner | Hearing Instrument Specialist | 1415 Panther Ln, Naples, FL 34109-7874 | 2017-10-17 |
| 1720522923 | Jules A. Kiefer Jr. | Audiologist | 1415 Panther Ln, Naples, FL 34109-7874 | 2016-12-07 |
| 1659829349 | Castle Healthcare Services, Inc | Home Health | 1415 Panther Ln, Suite 329, Naples, FL 34109-7874 | 2016-09-12 |
| 1093164063 | Cognizant Health LLC | Psychiatry & Neurology | 1415 Panther Ln, Naples, FL 34109-7874 | 2016-06-09 |
| 1730593583 | Press Psychology, LLC | Psychologist | 1415 Panther Ln, Suite 218, Naples, FL 34109-7874 | 2014-06-19 |
| 1336550672 | Judith Spina | Hearing Instrument Specialist | 1415 Panther Ln, Suite305, Naples, FL 34109-7874 | 2014-05-08 |
| 1255759221 | Florida Healthcare Enterprises, Inc. | Home Health | 1415 Panther Ln, Naples, FL 34109-7874 | 2014-04-07 |
| 1720404023 | Connect Hearing, Inc. | Audiologist | 1415 Panther Ln, Naples, FL 34109-7874 | 2014-03-11 |
| 1003166307 | Fresh Start Private Florida | Community/Behavioral Health | 1415 Panther Ln, Naples, FL 34109-7874 | 2012-09-13 |
| 1912266016 | Anne H Loughridge, Speech-language Pathologist, Pl | Speech-Language Pathologist | 1415 Panther Ln, Suite 240, Naples, FL 34109-7874 | 2012-05-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407325467 | Dah Therapies LLC | Clinic/Center | 4750 Aston Gardens Way, Therapy Room, Second Floor, Naples, FL 34109 | 2018-11-20 |
| 1003302712 | Ocuflow Doppler LLC | Radiology | 1855 Veterans Park Drive, Naples, FL 34109 | 2018-07-05 |
| 1114417508 | Vascular Center of Naples Inc. | Surgery | 5490 Bryson Dr Ste 201, Naples, FL 34109 | 2018-05-11 |
| 1497257968 | Neuro-tech Inc | Behavioral Analyst | 5687 Naples Blvd Suite A, Naples, FL 34109 | 2018-03-01 |
| 1407302177 | Kendria Brown | Behavioral Analyst | 10641 Airport Pulling Road, Naples, FL 34109 | 2016-08-31 |
| 1255789368 | Ideal Image | Specialist | 1485 Pine Ridge Road Unit #1, Naples, FL 34109 | 2016-05-31 |
| 1790153062 | Lee Memorial Health System | Pharmacy | 3361 Pine Ridge Rd, Suite 100, Naples, FL 34109 | 2015-09-03 |
| 1922400340 | North Naples Pediatric Center | Pediatrics | 9160 Galleria Court, Naples, FL 34109 | 2014-09-17 |
| 1720326978 | Evan Michael Asay | Occupational Therapist | 1865 Veterans Park Drive, Suite 101, Naples, FL 34109 | 2013-01-23 |
| 1942599436 | Anchors Away Medical Corp. | Internal Medicine | 1495 Pine Ridge Rd., Suite 4, Naples, FL 34109 | 2011-04-05 |
| Find all providers in zip 34109 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285295915 | Florida Psychiatry Services, Pa | Psychiatry & Neurology | 818 Anchor Rode Dr, Naples, FL 34103-2739 | 2019-06-24 |
| 1760967517 | Andrew Safron IIi | Psychiatry & Neurology | 5239 Starfish Ave, Naples, FL 34103-2464 | 2018-09-27 |
| 1588929616 | Virginia Condello | Psychiatry & Neurology | 6461 Sandalwood Ln, Naples, FL 34109-0503 | 2012-07-04 |
| 1669743696 | Dennis H Langer | Psychiatry & Neurology | 8231 Bay Colony Dr, #1804, Naples, FL 34108-7789 | 2012-01-23 |
| 1881848778 | Michael Willard Kilchenstein | Psychiatry & Neurology | 2590 Golden Gate Pkwy, Naples, FL 34105-3261 | 2008-11-05 |
| 1003066291 | David Guy Malen | Psychiatry & Neurology | 4100 Corporate Square, 21, Naples, FL 34104 | 2008-09-24 |
| 1124146055 | Richard J Capiola | Psychiatry & Neurology | 350 Seventh Street N, Naples, FL 34102 | 2007-03-27 |
| 1538285192 | Eduardo Lichi | Psychiatry & Neurology | 4375 Radio Rd #101, Naples, FL 34104-4372 | 2007-03-22 |
| 1417006180 | Christopher K Healey | Psychiatry & Neurology | 5278 Golden Gate Pkwy, Naples, FL 34116-7670 | 2007-01-10 |
| 1568533438 | C. Renee Washington-hyde | Psychiatry & Neurology | 5150 Tamiami Trl N Ste 203, #203, Naples, FL 34103-2818 | 2006-11-13 |
| Find all providers in NAPLES | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.