Active NPI
Laura McCrary Hansen, PSYD
- Clinical Psychologist
- Coronado, CA
National Provider Identifier
1467724542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY18144
- Practice address
- 158 C Avenue
Coronado, CA 92118-1420 - Phone
- (619) 435-5400
- Fax
- (619) 435-5401
- NPI assigned
- Feb 3, 2012
- Last updated
- Feb 3, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY18144 | CA | Primary |
Addresses
Primary practice location
158 C Avenue
Coronado, CA 92118-1420
Mailing address
158 C Ave
Coronado, CA 92118-1420
Phone (619) 435-5400
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY18144 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328227200000",
"number": "1467724542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "158 C AVE",
"city": "CORONADO",
"state": "CA",
"postal_code": "921181420",
"telephone_number": "619-435-5400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "158 C AVENUE",
"city": "CORONADO",
"state": "CA",
"postal_code": "921181420",
"telephone_number": "619-435-5400",
"fax_number": "619-435-5401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSEN",
"first_name": "LAURA",
"middle_name": "MCCRARY",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-03",
"last_updated": "2012-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY18144",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coronado, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.