Katie Morgan Hannah-Fisher, PHD

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

3335 Issued in OR

Practice address

837 Alder Creek Dr
Medford, OR 97504-8900

Phone

(541) 608-3878

Fax

(541) 608-3880

NPI assigned

Jun 11, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southern Oregon Neuropsychological Clinic LLCGroup PAC ID 8729050877, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

90.74 of 100Reported as group

Quality

81.47

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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.

• Southern Oregon Neuropsychological Clinic LLC

  • Clinical Neuropsychologist
  • Medford, OR
  • NPI 1588726939
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1465603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631145600000",
    "number": "1164871919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "837 ALDER CREEK DR",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048900",
            "telephone_number": "541-608-3878",
            "fax_number": "541-608-3880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "837 ALDER CREEK DR",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048900",
            "telephone_number": "541-608-3878",
            "fax_number": "541-608-3880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Beach St",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941331220",
            "country_code": "US",
            "telephone_number": "541-218-9825",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANNAH-FISHER",
        "first_name": "KATIE",
        "middle_name": "MORGAN",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-11",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "3335",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "OR",
            "license": "3335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pandora Mae Hamsa
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• Kristen L Hanley
• Sarah Rae Hanley
• Jody Hannah
• Karolyn Delaun Hannah
• Terry Darlene Hansen
• Brian Hanson
• Damon James Hanson, O.D.

• Clinical Neuropsychologist in Medford, OR
• Providers in Medford, OR by specialty
• Clinical Neuropsychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; 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.

Verify at the official NPI Registry.