John Hansen M.a. Licensed Psychologist LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

LP 3679 Issued in MN

Legal business name

JOHN HANSEN M.A. LICENSED PSYCHOLOGIST LLC

Practice address

1600 University Ave W
Suite 400
Saint Paul, MN 55104-3898

Phone

(651) 434-3325

NPI assigned

Sep 11, 2009

Organization subpart

No

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

Authorized official

Name

John Hansen, M.A.NPI 1619075843

Title

Licensed Psyychologist

Phone

(651) 434-3325

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Martin Hansen, LP

  • Psychologist
  • Saint Paul, MN
  • NPI 1619075843
  NPD (past) Authorized official

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

{
    "created_epoch": "1252627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252627200000",
    "number": "1407189251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 UNIVERSITY AVE W",
            "address_2": "SUITE 400",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551043898",
            "telephone_number": "651-434-3325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 UNIVERSITY AVE W",
            "address_2": "SUITE 400",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551043898",
            "telephone_number": "651-434-3325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN HANSEN M.A. LICENSED PSYCHOLOGIST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-11",
        "last_updated": "2009-09-11",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "LICENSED PSYYCHOLOGIST",
        "authorized_official_telephone_number": "651-434-3325",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "MN",
            "license": "LP 3679",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP 3679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "795217100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dorothea David Johansen, D.C.
• Karen Jeanne Johanson, PT
• Timothy Johansson Sr., PSYD
• Elizabeth Johlson
• John E. Savage, M.D., P.a.
• John R. Petersen D.C. P.a. (Spine & Sports Chiropractic)
• John W Benton MD PA
• Paulose S John, M.D
• Christine L Johns, MD
• James W Johns, LICSW

• Clinical Psychologist in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Clinical Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2009; 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.