Individual provider Active NPI

Philip A Hanger, PH.D

  • Forensic Psychologist
  • Hayden, ID
National Provider Identifier
1134320765
Registry record updated Aug 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Forensic PsychologistTaxonomy code 103TF0200X
License
PSY202760 Issued in ID
Practice address
13403 N Government Way Unit 215
Hayden, ID 83835-8900
Phone
(208) 889-5053
Fax
(208) 567-4157
NPI assigned
May 30, 2007
Last updated
Aug 9, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY202760 ID
Forensic Psychologist 103TF0200X PSY202760 ID Primary

Addresses

Primary practice location

13403 N Government Way Unit 215
Hayden, ID 83835-8900

Mailing address

3255 Camino del Rio S
San Diego, CA 92108-3806

Other names 1

  • Dr. Philip Hanger Professional name

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY202760IDMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
John a Wolfe, PH.D., LLC and Associates Clinical Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: phanger627537@direct.multicare.org

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565308800000",
    "number": "1134320765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3255 CAMINO DEL RIO S",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13403 N GOVERNMENT WAY UNIT 215",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838358900",
            "telephone_number": "208-889-5053",
            "fax_number": "208-567-4157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANGER",
        "first_name": "PHILIP",
        "middle_name": "A",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-30",
        "last_updated": "2019-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "ID",
            "license": "PSY202760",
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "ID",
            "license": "PSY202760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PHILIP",
            "last_name": "HANGER",
            "prefix": "DR.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Hayden, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.