Hassan Khalif Hassan

Primary specialty

Intellectual & Developmental Disabilities PsychologistTaxonomy code 103TM1800X

Practice address

938 6TH St E
Saint Paul, MN 55106-4504

Phone

(315) 450-7121

Fax

(651) 389-0540

NPI assigned

Sep 18, 2024

Sex

Male

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 18, 2024.

{
    "created_epoch": "1726617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1487481925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "938 6TH ST E",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551064504",
            "telephone_number": "315-450-7121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "938 6TH ST E",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551064504",
            "telephone_number": "315-450-7121",
            "fax_number": "651-389-0540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASSAN",
        "first_name": "HASSAN",
        "middle_name": "KHALIF",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-09-18",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Farhiyo Hassan
• Fatima Ali Hassan
• Filsan Hassan
• Fowzi A Hassan
• Harum Hassan
• Idil Hassan
• Ifrah Hassan
• Khadija Ali Hassan
• Mohamed Khalif Hassan
• Nancy Hassan, PA-C

• All providers in Saint Paul, MN
• Intellectual & Developmental Disabilities Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; 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.