Active NPI
Carrie Grace Hanley, LMSW
- Pediatrics Physician
- New Hyde Park, NY
National Provider Identifier
1104545086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 116106
- Practice address
- 1 Hollow LN Ste 301
New Hyde Park, NY 11042-1215 - Phone
- (630) 728-6614
- NPI assigned
- Aug 24, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Hospital Unit | 273R00000X | 150.105517 | IL | |
| Pediatrics Physician | 208000000X | 116106 | NY | Primary |
Addresses
Primary practice location
1 Hollow LN Ste 301
New Hyde Park, NY 11042-1215
Mailing address
225 E Chicago Ave
Chicago, IL 60611-2991
Phone (312) 227-0850
Other practice location 1
225 E Chicago Ave
Chicago, IL 60611-2991
Phone (312) 227-0850 ext. 73461
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 150.105517 | Other | IL | LICENSED SOCIAL WORKER |
| 116106 | Other | NY | LICENSED MASTER SOCIAL WORKER |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 150.105517 | IL | MD | Psychiatric Hospital Unit |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661472000000",
"number": "1104545086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 E CHICAGO AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606112991",
"telephone_number": "312-227-0850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 HOLLOW LN STE 301",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110421215",
"telephone_number": "630-728-6614"
}
],
"practiceLocations": [
{
"address_1": "225 E Chicago Ave",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606112991",
"country_code": "US",
"telephone_number": "312-227-0850 x73461",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HANLEY",
"first_name": "CARRIE",
"middle_name": "GRACE",
"name_prefix": "Ms.",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-24",
"last_updated": "2022-08-26",
"certification_date": "2022-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "273R00000X",
"taxonomy_group": "",
"desc": "Psychiatric Unit",
"state": "IL",
"license": "150.105517",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "116106",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED SOCIAL WORKER",
"identifier": "150.105517",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED MASTER SOCIAL WORKER",
"identifier": "116106",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Hyde Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.