Individual provider Active NPI

Hannah Schilleci, LSSP

  • School Psychologist
  • Clovis, NM
National Provider Identifier
1003694043
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
419106 Issued in NM
Practice address
1709 Arbor Dr
Clovis, NM 88101-2305
Phone
(210) 213-4983
NPI assigned
Sep 20, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 419106 NM Primary

Addresses

Primary practice location

1709 Arbor Dr
Clovis, NM 88101-2305

Mailing address

1709 Arbor Dr
Clovis, NM 88101-2305
Phone (210) 213-4983

Other names 1

  • Ms. Hannah Cooper Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
419106NMMDSchool Psychologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1695168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1003694043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1709 ARBOR DR",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881012305",
            "telephone_number": "210-213-4983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1709 ARBOR DR",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881012305",
            "telephone_number": "210-213-4983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHILLECI",
        "first_name": "HANNAH",
        "name_prefix": "Mrs.",
        "credential": "LSSP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-20",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "NM",
            "license": "419106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HANNAH",
            "last_name": "COOPER",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Clovis, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.