Christine A Hanson, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

3178-57 Issued in WI

Practice address

N2846 State Road 67
Williams Bay, WI 53191-3771

Phone

(262) 245-5608

Fax

(262) 245-5648

NPI assigned

Sep 8, 2009

Last updated

Oct 14, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

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    "created_epoch": "1252368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413244800000",
    "number": "1255664322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N2846 STATE ROAD 67",
            "city": "WILLIAMS BAY",
            "state": "WI",
            "postal_code": "531913771",
            "telephone_number": "262-245-5608",
            "fax_number": "262-245-5648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N2846 STATE ROAD 67",
            "city": "WILLIAMS BAY",
            "state": "WI",
            "postal_code": "531913771",
            "telephone_number": "262-245-5608",
            "fax_number": "262-245-5648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSON",
        "first_name": "CHRISTINE",
        "middle_name": "A",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-08",
        "last_updated": "2014-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WI",
            "license": "3178-57",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08258",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julia M. Deller, LCSW
• William Bruce Duncan, EDD
• Jonathan Caleb Easton, PSY.D.
• Louisa R Frost-Smith, M.A., CF-SLP
• Morgan Gagas, MS, LPC
• Dinah Harner, RD
• Helm Therapy Services, LLC
• John Larry Jansky, PHD
• Craig Joel Johnson, M.D.
• Mitchell Steven Johnson

• Psychologist in Williams Bay, WI
• Providers in Williams Bay, WI by specialty
• Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2014; 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.