Active NPI
Luke Robert Hansen, PSY,D
- Cognitive & Behavioral Psychologist
- Marshalltown, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cognitive & Behavioral Psychologist
- License
- 00939
- Practice address
- 9 N 4TH Ave
Marshalltown, IA 50158-1836 - Phone
- (641) 752-1585
- Fax
- (641) 752-9665
- NPI assigned
- Feb 16, 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 |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | 00939 | IA | Primary |
Addresses
Primary practice location
9 N 4TH Ave
Marshalltown, IA 50158-1836
Mailing address
9 N 4TH Ave
Marshalltown, IA 50158-1836
Phone (641) 752-1585
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05823 | Other | IA | MEDICARE |
| 321119 | Other | IA | VALUE OPTIONS |
| 05823 | Other | IA | BCBS |
| 240194 | Other | IA | MIDLANDS CHOICE |
| IA0137 | Other | IA | JOHN DEERE/UBH |
| 080381 | Other | IA | HEALTH ALLIANCE |
| 0058230 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1340 Blairs Ferry Rd
Unit a
Hiawatha, IA 52233-1900
Phone (319) 398-6575
701 10TH St SE
Cedar Rapids, IA 52403-1251
701 10TH St SE J Edward Lundy
Mercy Pediatric Clinic
Cedar Rapids, IA 52403-1251
Phone (319) 832-2328
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00939 | IA | MD | Cognitive & Behavioral Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Medical Center | Current | Accepting new patients | |
| Mercy Medical Center | Current | Accepting new patients | |
| Center Associates | Cognitive & Behavioral | Past | Accepting new patients |
Locations
701 10th St SE
Cedar Rapids, IA 52403
Phone (319) 398-6011
Organizations & group practices 3
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.
-
- Psychiatry Physician
- Cedar Rapids, IA
- NPI 1700834165
-
- Community/Retail Pharmacy
- Cedar Rapids, IA
- NPI 1114923513
-
- Cognitive & Behavioral Psychologist
- Marshalltown, IA
- NPI 1942251160
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191974400000",
"number": "1114991965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 N 4TH AVE",
"city": "MARSHALLTOWN",
"state": "IA",
"postal_code": "501581836",
"telephone_number": "641-752-1585",
"fax_number": "641-752-9665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 N 4TH AVE",
"city": "MARSHALLTOWN",
"state": "IA",
"postal_code": "501581836",
"telephone_number": "641-752-1585",
"fax_number": "641-752-9665"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSEN",
"first_name": "LUKE",
"middle_name": "ROBERT",
"name_prefix": "Mr.",
"credential": "PSY,D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-16",
"last_updated": "2007-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "IA",
"license": "00939",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "05823",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "321119",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "05823",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDLANDS CHOICE",
"identifier": "240194",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHN DEERE/UBH",
"identifier": "IA0137",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ALLIANCE",
"identifier": "080381",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0058230",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marshalltown, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; 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.