Active NPI
Robert G Hansen, PHD
- Clinical Psychologist
- Greenville, SC
National Provider Identifier
1265516652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 563
- Practice address
- One St Francis Drive
9TH Floor
Greenville, SC 29601 - Phone
- (864) 255-1563
- Fax
- (864) 255-1913
- NPI assigned
- Oct 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 563 | SC | Primary |
Addresses
Primary practice location
One St Francis Drive
9TH Floor
Greenville, SC 29601
Mailing address
1300 Shaw Rd
Woodruff, SC 29388
Phone (864) 313-7911
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 563 | Other | SC PSYCH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 563 | SC | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1265516652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 SHAW RD",
"city": "WOODRUFF",
"state": "SC",
"postal_code": "29388",
"telephone_number": "864-313-7911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ONE ST FRANCIS DRIVE",
"address_2": "9TH FLOOR",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "29601",
"telephone_number": "864-255-1563",
"fax_number": "864-255-1913"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSEN",
"first_name": "ROBERT",
"middle_name": "G",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "SC",
"license": "563",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SC PSYCH",
"identifier": "563",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.