Brian Hanna, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071008244 Issued in IL

Practice address

444 N Northwest Hwy
Suite 375
Park Ridge, IL 60068-3263

Phone

(224) 764-1879

NPI assigned

Apr 30, 2008

Last updated

Jun 19, 2015By the provider in NPPES

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 IL

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, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Hanna Psychological Services, PC

  • Clinical Psychologist
  • Park Ridge, IL
  • NPI 1427430008
  Medicare reassignment NPD Authorized official
• Ethos Psychological Services LLC

  • Clinical Psychologist
  • Park Ridge, IL
  • NPI 1316466857
  NPD

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

{
    "created_epoch": "1209513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434672000000",
    "number": "1477729465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 N NORTHWEST HWY",
            "address_2": "SUITE 375",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600683263",
            "telephone_number": "224-764-1879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 N NORTHWEST HWY",
            "address_2": "SUITE 375",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600683263",
            "telephone_number": "224-764-1879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNA",
        "first_name": "BRIAN",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-30",
        "last_updated": "2015-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071008244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ali Hani
• Therese Hanigan, APN,CNP
• Susan J Hann, MD
• Hanna Psychological Services, PC
• Akanksha Shrivastava Hanna, MD
• Michelle Marie Hanna, D.O.
• Whitney Susanne Hanson, AGACDNP
• Iqbal Haq, MD
• Syed Ammar Haq
• Magdalene Rene Harki, PSY.D. ABPP

• Clinical Psychologist in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2015; 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.