Organization Active NPI

Hansink & Associates

  • Clinical Psychologist
  • San Juan Capistrano, CA
National Provider Identifier
1194860973
Registry record updated Mar 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY16087 Issued in CA
Legal business name
HANSINK & ASSOCIATES
Practice address
29222 Rancho Viejo Rd
Suite 208
San Juan Capistrano, CA 92675-1016
Phone
(949) 933-3556
Fax
(949) 481-1149
NPI assigned
Feb 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2010

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

Authorized official

Name
Dr. Raymond L. Hansink, PHD
Title
Clinical Psychologist
Phone
(949) 933-3556

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC0700X PSY16087 CA Primary

Addresses

Primary practice location

29222 Rancho Viejo Rd
Suite 208
San Juan Capistrano, CA 92675-1016

Mailing address

29222 Rancho Viejo Rd
Suite 208
San Juan Capistrano, CA 92675-1041
Phone (949) 933-3556

National Provider Directory

National Provider Directory

Locations

29222 Rancho Viejo Rd
Ste 208
San Juan Capo, CA 92675
Phone (949) 933-3556

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267401600000",
    "number": "1194860973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29222 RANCHO VIEJO RD",
            "address_2": "SUITE 208",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926751041",
            "telephone_number": "949-933-3556",
            "fax_number": "949-481-1149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29222 RANCHO VIEJO RD",
            "address_2": "SUITE 208",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926751016",
            "telephone_number": "949-933-3556",
            "fax_number": "949-481-1149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANSINK & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2010-03-01",
        "status": "A",
        "authorized_official_last_name": "HANSINK",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "949-933-3556",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY16087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan Capistrano, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2010; 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.