Michael H. Hansen, PSYD

Primary specialty

Prescribing (Medical) PsychologistTaxonomy code 103TP0016X

License

MP.0017 Issued in LA

Practice address

3860 W Ogden Ave
Chicago, IL 60623-2460

Phone

(773) 843-3000

Fax

(773) 843-2704

NPI assigned

May 31, 2006

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

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Marillac Community Health CentersGroup PAC ID 3678755535, 70 clinicians

Northeast Delta Human Services AuthorityGroup PAC ID 2961726005, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations (25 of 40)

Interoperability endpoints

• Direct secure messaging: michael.hansen@dchcno.eclinicaldirectplus.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Marillac Community Health Centers

  • Primary Care Clinic/Center
  • Metairie, LA
  • NPI 1396059796
  Medicare reassignment Care Compare group NPD
• Northeast Delta Human Services Authority

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Monroe, LA
  • NPI 1033551833
  Medicare reassignment Care Compare group NPD
• Priority Health Care

  • Federally Qualified Health Center (FQHC)
  • Marrero, LA
  • NPI 1609136563
  Medicare reassignment NPD
• Marillac Community Health Centers

  • Federally Qualified Health Center (FQHC)
  • Hammond, LA
  • NPI 1578442505
  NPD
• Marillac Community Health Centers

  • Clinic/Center
  • New Orleans, LA
  • NPI 1790051407
  NPD
• Northeast Delta Human Services Authority

  • Primary Care Clinic/Center
  • Monroe, LA
  • NPI 1790158681
  NPD
• Priority Health Care

  • Federally Qualified Health Center (FQHC)
  • Gretna, LA
  • NPI 1346725108
  NPD
• Priority Health Care

  • Federally Qualified Health Center (FQHC)
  • Gretna, LA
  • NPI 1841522711
  NPD
• Marillac Community Health Centers

  • Federally Qualified Health Center (FQHC)
  • New Orleans, LA
  • NPI 1093249518
  NPD (past)
• Marillac Community Health Centers

  • Federally Qualified Health Center (FQHC)
  • New Orleans, LA
  • NPI 1780935973
  NPD (past)
• Marillac Community Health Centers

  • Clinic/Center
  • Kenner, LA
  • NPI 1831594241
  NPD (past)

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335830400000",
    "number": "1417994690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5001 HIGHWAY190",
            "address_2": "SUITE B1",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "70433",
            "telephone_number": "985-590-5744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3860 W OGDEN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606232460",
            "telephone_number": "773-843-3000",
            "fax_number": "773-843-2704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "MICHAEL",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2012-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TP0016X",
            "taxonomy_group": "",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "LA",
            "license": "MP.0017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haley Hansen, LCSW
• James B Hansen II, D.D.S.
• Jeffrey Hansen, MD, PHD
• Jenae Hansen
• Luke O'Brien Hansen, M.D.
• Nora Hansen, MD
• Piper Hansen
• Renee N Hansen, APN
• Roger B Hansen, LCPC
• Samantha Rose Hansen

• Prescribing (Medical) Psychologist in Chicago, IL
• Providers in Chicago, IL by specialty
• Prescribing (Medical) Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2012; 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.