Organization Active NPI

Hansen Behavioral Health a Psychological Corporation

  • Clinical Psychologist
  • Glendale, CA
National Provider Identifier
1366809790
Registry record updated Jan 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY27482 Issued in CA
Legal business name
HANSEN BEHAVIORAL HEALTH A PSYCHOLOGICAL CORPORATION
Practice address
524 N Maryland Ave
Suite 1
Glendale, CA 91206-2266
Phone
(213) 448-2835
Fax
(213) 405-2413
NPI assigned
Jan 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2016

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

Authorized official

Name
Dr. Alicia Susana Hansen, P.H.D.
Title
Clinical Psychologist
Phone
(213) 448-2835

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PSY27482 CA Primary

Addresses

Primary practice location

524 N Maryland Ave
Suite 1
Glendale, CA 91206-2266

Mailing address

524 N Maryland Ave
Suite 1
Glendale, CA 91206-2266
Phone (213) 448-2835

National Provider Directory

National Provider Directory

Locations

4082 Whittier Blvd
Ste 1
Los Angeles, CA 90023
Phone (213) 448-2835

4082 Whittier Blvd
Ste 104
Los Angeles, CA 90023
Phone (232) 266-0496

NPI Registry JSON

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

{
    "created_epoch": "1452816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452816000000",
    "number": "1366809790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 N MARYLAND AVE",
            "address_2": "SUITE 1",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912062266",
            "telephone_number": "213-448-2835",
            "fax_number": "213-405-2413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 N MARYLAND AVE",
            "address_2": "SUITE 1",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912062266",
            "telephone_number": "213-448-2835",
            "fax_number": "213-405-2413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANSEN BEHAVIORAL HEALTH A PSYCHOLOGICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-15",
        "last_updated": "2016-01-15",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_middle_name": "SUSANA",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "213-448-2835",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "P.H.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY27482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2016; 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.