Active NPI
Gregory Donald Hanson, PH.D.
- Clinical Psychologist
- Middletown, CT
National Provider Identifier
1144280090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 001068
- Practice address
- 769 Newfield St
Suite 3
Middletown, CT 06457-1846 - Phone
- (860) 523-0177
- Fax
- (860) 523-4300
- NPI assigned
- Mar 24, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 001068 | CT | Primary |
Addresses
Primary practice location
769 Newfield St
Suite 3
Middletown, CT 06457-1846
Mailing address
769 Newfield St
Suite 3
Middletown, CT 06457-1846
Phone (860) 523-0177
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1144280090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "769 NEWFIELD ST",
"address_2": "SUITE 3",
"city": "MIDDLETOWN",
"state": "CT",
"postal_code": "064571846",
"telephone_number": "860-523-0177",
"fax_number": "860-523-4300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "769 NEWFIELD ST",
"address_2": "SUITE 3",
"city": "MIDDLETOWN",
"state": "CT",
"postal_code": "064571846",
"telephone_number": "860-523-0177",
"fax_number": "860-523-4300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSON",
"first_name": "GREGORY",
"middle_name": "DONALD",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CT",
"license": "001068",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Middletown, CT
- Nakia Maureen Hamlett, PH.D.
- Nancy G Hammond, APRN
- Hancock Pharmacy V LLC
- Hancock Pharmacy V LLC (Hancock Pharmacy V)
- Meghan Hansen
- Arne G Hansson, MD
- Richard Hany Jr., COTA/L
- Happy Place Psychiatry LLC
- Agata Katarzyna Harabasz, MD
- Harbor Hill Care Center, Inc. (Water's Edge Center for Health and Rehabilitation)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.