Active NPI
Mark David Hassan, PH.D.
- Psychoanalysis Psychologist
- Alhambra, CA
National Provider Identifier
1013093459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychoanalysis Psychologist
- License
- PSY 5298
- Practice address
- 1961 W Huntington Dr Ste 202
Alhambra, CA 91801-1222 - Phone
- (626) 458-5444
- Fax
- (626) 458-0679
- NPI assigned
- Oct 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychoanalysis Psychologist | 103TP0814X | PSY 5298 | CA | Primary |
Addresses
Primary practice location
1961 W Huntington Dr Ste 202
Alhambra, CA 91801-1222
Mailing address
1961 W Huntington Dr Ste 202
Alhambra, CA 91801-1222
Phone (626) 458-5444
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 5298 | CA | MD | Psychoanalysis Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253491200000",
"number": "1013093459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1961 W HUNTINGTON DR STE 202",
"city": "ALHAMBRA",
"state": "CA",
"postal_code": "918011222",
"telephone_number": "626-458-5444",
"fax_number": "626-458-0679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1961 W HUNTINGTON DR STE 202",
"city": "ALHAMBRA",
"state": "CA",
"postal_code": "918011222",
"telephone_number": "626-458-5444",
"fax_number": "626-458-0679"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASSAN",
"first_name": "MARK",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-28",
"last_updated": "2009-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TP0814X",
"taxonomy_group": "",
"desc": "Psychologist, Psychoanalysis",
"state": "CA",
"license": "PSY 5298",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alhambra, CA
- Aisha Jamila Harper
- Michael Harper
- Marilease Harris, PSY.D.
- Sebastian Hart
- Tracy Hartley, CD(DONA)
- Hathaway Sycamores Child and Family Services
- Hathaway Sycamores Child and Family Services
- Hathaway Sycamores Child and Family Services
- Hathaway Sycamores Child and Family Services
- Hathaway Sycamores Child and Family Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.