Organization Active NPI

Hanna Psychotherapy PLLC

  • Clinical Social Worker
  • Bainbridge Island, WA
National Provider Identifier
1144825829
Registry record updated Dec 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
HANNA PSYCHOTHERAPY PLLC
Practice address
175 Parfitt Way SW Ste N280
Bainbridge Island, WA 98110-4926
Phone
(206) 317-4570
Fax
(708) 406-1532
NPI assigned
Dec 1, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2020

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

Authorized official

Name
Judith L Hanna, LICSW
Title
Psychotherapist
Phone
(206) 317-4570

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

175 Parfitt Way SW Ste N280
Bainbridge Island, WA 98110-4926

Mailing address

11831 Olympic Terrace Ave NE
Bainbridge Island, WA 98110-4293
Phone (708) 707-1929

Other practice location 1

11831 Olympic Terrace Ave NE Unit 2
Bainbridge Island, WA 98110-4293
Phone (206) 317-4570

Other names 1

  • Judith L Hanna Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.judithlhannapsychotherapist.com

National Provider Directory

National Provider Directory

Locations

175 Parfitt Way SW
Ste N280
Bainbridge Island, WA 98110
Phone (206) 317-4570

NPI Registry JSON

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

{
    "created_epoch": "1606780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606867200000",
    "number": "1144825829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11831 OLYMPIC TERRACE AVE NE",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981104293",
            "telephone_number": "708-707-1929",
            "fax_number": "708-406-1532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 PARFITT WAY SW STE N280",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981104926",
            "telephone_number": "206-317-4570",
            "fax_number": "708-406-1532"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11831 Olympic Terrace Ave NE Unit 2",
            "address_purpose": "LOCATION",
            "city": "Bainbridge Island",
            "state": "WA",
            "postal_code": "981104293",
            "country_code": "US",
            "telephone_number": "206-317-4570",
            "fax_number": "708-406-1532",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HANNA PSYCHOTHERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-01",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A",
        "authorized_official_last_name": "HANNA",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "206-317-4570",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.judithlhannapsychotherapist.com",
            "affiliation": "N",
            "address_1": "175 Parfitt Way SW Ste N280",
            "city": "Bainbridge Island",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981104926",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Judith L Hanna",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Judith L Hanna",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bainbridge Island, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; 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.