Alicia Susana Hansen, PH.D PSYCHOLOGIST

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY27482 Issued in CA

Practice address

524 N Maryland Ave Apt 1
Glendale, CA 91206-2266

Phone

(213) 448-2835

NPI assigned

Nov 30, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 7

Addresses

Other names 1

• Dr. Alicia Susana Hansen Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hansen Behavioral Health a Psychological Corporation

  • Clinical Psychologist
  • Glendale, CA
  • NPI 1366809790
  Authorized official Same address or phone

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440720000000",
    "number": "1184792293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 N MARYLAND AVE APT 1",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912062266",
            "telephone_number": "213-448-2835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 N MARYLAND AVE APT 1",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912062266",
            "telephone_number": "213-448-2835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "ALICIA",
        "middle_name": "SUSANA",
        "name_prefix": "Dr.",
        "credential": "PH.D PSYCHOLOGIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2015-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSB31213",
            "primary": false
        },
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": "CA",
            "license": "PSY27482",
            "primary": false
        },
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "CA",
            "license": "PSY27482",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "CA",
            "license": "PSY27482",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "PSY27482",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY27482",
            "primary": true
        },
        {
            "code": "103TR0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Rehabilitation",
            "state": "CA",
            "license": "PSY27482",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALICIA",
            "last_name": "HANSEN",
            "middle_name": "SUSANA",
            "prefix": "DR.",
            "credential": "DOCTOR IN PSYCHOLOGY",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Laila Hanna, M.D.
• Margaret Hanna, DPT
• Rita Hanno
• Hanriet Minasian-Arakelian D O Inc
• Hansen Behavioral Health a Psychological Corporation
• Abby Hanson
• Annie Hao
• Happy at Home Health Services Inc
• Happy Days Hospice LLC
• Happy Go Lucky Life: Marriage and Family Therapy, Inc.

• Psychologist in Glendale, CA
• Providers in Glendale, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2015; 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.