NPIMap

Organization Active NPI

Hansen Neuropsychiatric Clinic PA

  • Clinic/Center
  • St Louis Park, MN
National Provider Identifier
1154598878
Registry record updated May 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
1103 Issued in MN
Legal business name
HANSEN NEUROPSYCHIATRIC CLINIC PA
Practice address
4601 Excelsior Blvd
Suite 300
St Louis Park, MN 55416-4960
Phone
(952) 920-6100
NPI assigned
May 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2008

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

Authorized official

Name
Dr. Carl R Hansen Jr., M.D.NPI 1508114810
Title
President
Phone
(952) 920-6100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 1103 MN Primary

Addresses

Primary practice location

4601 Excelsior Blvd
Suite 300
St Louis Park, MN 55416-4960

Mailing address

4601 Excelsior Blvd
Suite 300
St Louis Park, MN 55416-4960

National Provider Directory

National Provider Directory

Locations

4601 Excelsior Blvd
Ste 300
St Louis Park, MN 55416
Phone (952) 920-6100

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1210550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210550400000",
    "number": "1154598878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 EXCELSIOR BLVD",
            "address_2": "SUITE 300",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554164960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 EXCELSIOR BLVD",
            "address_2": "SUITE 300",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554164960",
            "telephone_number": "952-920-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANSEN NEUROPSYCHIATRIC CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-12",
        "last_updated": "2008-05-12",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "952-920-6100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MN",
            "license": "1103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Louis Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2008; 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.