Individual provider Active NPI

Nora Lee Hanvik, MA,CSE

  • School Psychologist
  • Columbia Heights, MN
National Provider Identifier
1356436885
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
205989 Issued in MN
Practice address
1440 49TH Ave. NE
Isd #13
Columbia Heights, MN 55421
Phone
(763) 528-4632
NPI assigned
Oct 3, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 2665 MN
School Psychologist 103TS0200X 205989 MN Primary

Addresses

Primary practice location

1440 49TH Ave. NE
Isd #13
Columbia Heights, MN 55421

Mailing address

4815 28TH Ave. S.
#515
Minneapolis, MN 55417-1359
Phone (612) 722-2653

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)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
205989MNMDSchool Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1356436885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4815 28TH AVE. S.",
            "address_2": "#515",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554171359",
            "telephone_number": "612-722-2653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 49TH AVE. NE",
            "address_2": "ISD #13",
            "city": "COLUMBIA HEIGHTS",
            "state": "MN",
            "postal_code": "55421",
            "telephone_number": "763-528-4632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANVIK",
        "first_name": "NORA",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "MA,CSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "2665",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "MN",
            "license": "205989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia Heights, MN

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.

Verify at the official NPI Registry.