Genine Ivy Hanin, ED.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY13568 Issued in CA

Practice address

3625 E Thousand Oaks Blvd
120
Westlake Village, CA 91362-3626

Phone

(805) 497-6137

NPI assigned

Mar 12, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Orion Medical Group

  • Internal Medicine Physician
  • Agoura Hills, CA
  • NPI 1710145164
  NPD (past)
• Senior Wellness Dynamics, Inc.

  • Cognitive & Behavioral Psychologist
  • Redlands, CA
  • NPI 1629448394
  NPD (past)

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622246400000",
    "number": "1013049105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3625 E THOUSAND OAKS BLVD STE 236",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913623571",
            "telephone_number": "805-497-6137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 E THOUSAND OAKS BLVD",
            "address_2": "120",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913623626",
            "telephone_number": "805-497-6137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANIN",
        "first_name": "GENINE",
        "middle_name": "IVY",
        "name_prefix": "Dr.",
        "credential": "ED.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2021-05-29",
        "certification_date": "2021-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY13568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miriam Hamideh, PH.D.
• Anna Hamrell, LCSW
• April Michelle Haney, LMFT
• William Mack Hang, DDS, MSD
• Laila Hanig, OT
• Mary Hanna, NP-BC
• Celia Hansen
• Hanzelik and Horton, MDS, Inc.
• Jennifer Lynn Hardin, BCBA
• Patrick Hardin, DC

• Psychologist in Westlake Village, CA
• Providers in Westlake Village, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.