Hansen Therapy, LLC

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

2072-057 Issued in WI

Legal business name

HANSEN THERAPY, LLC

Practice address

2717 N Grandview Blvd
Suite 110
Waukesha, WI 53188-1672

Phone

(414) 303-4205

NPI assigned

Oct 13, 2006

Last updated

Jun 20, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Peter John Hansen, PHDNPI 1619067600

Title

Licensed Psychologist/Owner

Phone

(414) 303-4205

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Peter John Hansen, PHD

  • Counseling Psychologist
  • Waukesha, WI
  • NPI 1619067600
  Medicare reassignment NPD Authorized official
• Joseph J Burgarino, M.D.

  • Psychiatry Physician
  • Milwaukee, WI
  • NPI 1598829665
  NPD (past)
• Vicki J Harder, PH.D.

  • Psychologist
  • Brookfield, WI
  • NPI 1205935756
  NPD (past)
• Thomas Holbrook, MD

  • Psychiatry Physician
  • Hartland, WI
  • NPI 1760593180
  NPD (past)
• Antoinette Ducrest, MD

  • Psychiatry Physician
  • New Castle, DE
  • NPI 1174549927
  NPD (past)
• Soleyman Mirakhor, MD

  • Psychiatry Physician
  • Ventura, CA
  • NPI 1003864067
  NPD (past)

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371686400000",
    "number": "1093805095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2717 N GRANDVIEW BLVD",
            "address_2": "SUITE 110",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531881672",
            "telephone_number": "414-303-4205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2717 N GRANDVIEW BLVD",
            "address_2": "SUITE 110",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531881672",
            "telephone_number": "414-303-4205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANSEN THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2013-06-20",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "414-303-4205",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": "WI",
            "license": "2072-057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "391-305-00",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hanger Prosthetics & Orthotics East Inc
• Mark Daniel Hanley, RN, LMT
• Hannah Home Health Care, Inc
• Hannah Home Health Care, Inc.
• Susan R Hanosh, RPH
• Denise Renee Hansen, LPN
• Mariah Lynn Hansen, MS
• Marie Hansen, MS
• Peter John Hansen, PHD
• Sarah P. Hansen, MD

• Counseling Psychologist in Waukesha, WI
• Providers in Waukesha, WI by specialty
• Counseling Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.