Rebekah Bissell Hansen, PSY.D., LP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301014921 Issued in MI

Practice address

2311 Shelby Ave
Suite 201 Room C
Ann Arbor, MI 48103-3849

Phone

(734) 223-3520

NPI assigned

Sep 27, 2011

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Tree Town Therapy PLLC

  • Clinical Psychologist
  • Ann Arbor, MI
  • NPI 1780103382
  NPD (past) Authorized official

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

{
    "created_epoch": "1317081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458172800000",
    "number": "1427331289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "376 PINEWOOD ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481032738",
            "telephone_number": "734-223-3520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 SHELBY AVE",
            "address_2": "SUITE 201 ROOM C",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481033849",
            "telephone_number": "734-223-3520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "REBEKAH",
        "middle_name": "BISSELL",
        "credential": "PSY.D., LP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-27",
        "last_updated": "2016-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301014921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Hansell, RN, BSN, MBA
• Mark Richard Hanselman, D.D.S.
• Barbara Marie Hansen, MSW
• Darby Katherine Hansen, CNM
• Jesse Evan Hansen
• Sean Owen Hansen, MD
• Shelby C Hansen, MS, CCC-SLP
• William Lee Hansen Jr., RPH
• Laura An Hansman, MD
• Casey Hanson, PHARMD

• Clinical Psychologist in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.