Bridget O. Hannahan, PH.D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

774 Issued in AL

Practice address

3168 Midtown Park S Ste E
Mobile, AL 36606-4123

Phone

(251) 421-4313

NPI assigned

Nov 27, 2006

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

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Narrow Road Counseling, PC

  • Clinical Psychologist
  • Mobile, AL
  • NPI 1497361745

  Cognitive & Behavioral

  NPD Authorized official
• University of South Alabama, Dept of Radiology

  • General Acute Care Hospital
  • Mobile, AL
  • NPI 1720282023
  NPD (past)

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614297600000",
    "number": "1336215995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1768",
            "city": "POINT CLEAR",
            "state": "AL",
            "postal_code": "365641768",
            "telephone_number": "251-421-4313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3168 MIDTOWN PARK S STE E",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366064123",
            "telephone_number": "251-421-4313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNAHAN",
        "first_name": "BRIDGET",
        "middle_name": "O.",
        "credential": "PH.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-27",
        "last_updated": "2021-02-26",
        "certification_date": "2021-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "AL",
            "license": "774",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AL",
            "license": "774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09070760",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51539165",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890019220",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Thomas Hanlon, M.D.
• Melissa Hanlon, CRNP
• Claire C Hanna, OTR / L
• Hannahan Endodontic Group
• Hannahan Endodontic Group
• Patrick Earl Hannahan, DMD
• Thomas Herman Hannahan, DMD
• Crystal Hannon
• Jeffrey K Hannon, M.D.
• Paul Hannon, M.D.

• Clinical Psychologist in Mobile, AL
• Providers in Mobile, AL by specialty
• Clinical Psychologist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2021; 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.