Michael Sanford Hanau, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

151465 Issued in MA

Practice address

15 Parkman St
Wacc-812
Boston, MA 02114-3117

Phone

(617) 724-6300

Fax

(617) 727-7541

NPI assigned

Nov 5, 2005

Last updated

Aug 2, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Tufts University School of Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Walden Behavioral Care LLCGroup PAC ID 0042121659, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Massachusetts General Physicians Organization Inc

  • Dermatology Physician
  • Boston, MA
  • NPI 1801874573

  Psychiatry

  Medicare reassignment NPD
• The General Hospital Corporation

  • General Acute Care Hospital
  • Boston, MA
  • NPI 1023049236
  Medicare reassignment NPD
• Walden Behavioral Care LLC

  • Psychiatric Hospital
  • Dedham, MA
  • NPI 1992778781
  Care Compare group NPD (past)
• Ym Psychotherapy & Consultation Inc

  dba Ypc

  • Clinical Psychologist
  • Cambridge, MA
  • NPI 1962609586
  NPD (past)

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

{
    "created_epoch": "1131148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1346231578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 HAMPTON RD",
            "city": "WESTWOOD",
            "state": "MA",
            "postal_code": "020902426",
            "telephone_number": "781-461-8779",
            "fax_number": "617-726-7541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 PARKMAN ST",
            "address_2": "WACC-812",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021143117",
            "telephone_number": "617-724-6300",
            "fax_number": "617-727-7541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANAU",
        "first_name": "MICHAEL",
        "middle_name": "SANFORD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-05",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "151465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3170977",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD MA",
            "identifier": "J18111",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara Hanahan
• Joseph A. Hanak, M.D.
• Sahin Hanalioglu, MD, PHD
• Joan Hanania, PHD
• Alicia Robin Hanau, PA-C
• Jennifer Leslie Simon Hanberg, MD, SM
• Jessica Brooke Hancock-Allen, FNP-BC
• Mia Marie Hancock
• Heather R Hand
• Atsuhiko Handa, MD

• Psychiatry Physician in Boston, MA
• Providers in Boston, MA by specialty
• Psychiatry Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.