Active NPI
Ellen M Hanson, PH.D.
- Clinical Child & Adolescent Psychologist
- Boston, MA
National Provider Identifier
1336257062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- Practice address
- 300 Longwood Ave
Children'S Hospital Developmental Medicine Center
Boston, MA 02043 - Phone
- (617) 355-4212
- Fax
- (617) 730-0252
- NPI assigned
- Aug 25, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 8561 | MA | |
| Cognitive & Behavioral Psychologist | 103TB0200X | |||
| Clinical Psychologist | 103TC0700X | 8561 | MA | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | Primary | ||
| Intellectual & Developmental Disabilities Psychologist | 103TM1800X | 8561 | MA | |
| Group Psychotherapy Psychologist | 103TP2701X |
Addresses
Primary practice location
300 Longwood Ave
Children'S Hospital Developmental Medicine Center
Boston, MA 02043
Mailing address
300 Longwood Ave, Children'S Hospital
Developmental Medicine Center
Boston, MA 02043
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| W06527 | Other | MA | BLUE CROSS BLUE SHEILD |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1336257062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 LONGWOOD AVE, CHILDREN'S HOSPITAL",
"address_2": "DEVELOPMENTAL MEDICINE CENTER",
"city": "BOSTON",
"state": "MA",
"postal_code": "02043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 LONGWOOD AVE",
"address_2": "CHILDREN'S HOSPITAL DEVELOPMENTAL MEDICINE CENTER",
"city": "BOSTON",
"state": "MA",
"postal_code": "02043",
"telephone_number": "617-355-4212",
"fax_number": "617-730-0252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSON",
"first_name": "ELLEN",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-25",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "8561",
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "8561",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": null,
"license": null,
"primary": true
},
{
"code": "103TM1800X",
"taxonomy_group": "",
"desc": "Psychologist, Intellectual & Developmental Disabilities",
"state": "MA",
"license": "8561",
"primary": false
},
{
"code": "103TP2701X",
"taxonomy_group": "",
"desc": "Psychologist, Group Psychotherapy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHEILD",
"identifier": "W06527",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.