Active NPI
Tora Hanssen, M.D.
- Psychiatry Physician
- Berkeley, CA
National Provider Identifier
1508171992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A42856
- Practice address
- 921 The Alameda
Suite 222
Berkeley, CA 94707-2311 - Phone
- (510) 525-3755
- Fax
- (510) 525-3010
- NPI assigned
- Aug 10, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychoanalyst | 102L00000X | A42856 | CA | |
| Psychiatry Physician | 2084P0800X | A42856 | CA | Primary |
Addresses
Primary practice location
921 The Alameda
Suite 222
Berkeley, CA 94707-2311
Mailing address
921 The Alameda
Suite 222
Berkeley, CA 94707-2311
Phone (510) 525-3755
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jan 11, 2013 through Jan 11, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A42856 | CA | MD | Psychoanalyst |
| 42856 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychiatric Healthcare Medical Corp | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Psychiatric Hospital Unit
- San Francisco, CA
- NPI 1730235235
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281398400000",
"number": "1508171992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "921 THE ALAMEDA",
"address_2": "SUITE 222",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947072311",
"telephone_number": "510-525-3755",
"fax_number": "510-525-3010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "921 THE ALAMEDA",
"address_2": "SUITE 222",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947072311",
"telephone_number": "510-525-3755",
"fax_number": "510-525-3010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSSEN",
"first_name": "TORA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-10",
"last_updated": "2010-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "102L00000X",
"taxonomy_group": "",
"desc": "Psychoanalyst",
"state": "CA",
"license": "A42856",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A42856",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Berkeley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2010; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.