Individual provider Active NPI

Allison Ann Hanson, PSY.D., HSPP

  • Clinical Psychologist
  • New Albany, IN
National Provider Identifier
1568883544
Registry record updated Aug 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
20043275B Issued in IN
Practice address
3103 Blackiston Mill Rd
New Albany, IN 47150
Phone
(812) 590-7160
NPI assigned
Dec 18, 2013
Last updated
Aug 16, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 242904 KY
Clinical Psychologist 103TC0700X 20043275B IN Primary

Addresses

Primary practice location

3103 Blackiston Mill Rd
New Albany, IN 47150

Mailing address

3103 Blackiston Mill Rd
New Albany, IN 47150-9536
Phone (812) 590-7160

Other practice location 1

2627 Charlestown Rd
New Albany, IN 47150
Phone (812) 944-1550

Other practice location 2

914 E Broadway
Louisville, KY 40204
Phone (502) 589-8600

Other practice location 3

914 E Broadway
Louisville, KY 40204
Phone (502) 589-8600

Other identifiers 1

IdentifierTypeStateIssuer
200542700AMedicaidIN

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
20043275BINMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Auxilium Psychological Services, LLC CurrentSince Jan 1, 2024 Accepting new patients
Associates in Counseling and Psychtherapy Past Accepting new patients
Associates in Counseling and Psychotherapy Clinical PastSince Aug 1, 2014 Accepting new patients

Locations

3103 Blackiston Mill Rd
New Albany, IN 47150
Phone (812) 590-7160

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1387324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565913600000",
    "number": "1568883544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3103 BLACKISTON MILL RD",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471509536",
            "telephone_number": "812-590-7160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3103 BLACKISTON MILL RD",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "47150",
            "telephone_number": "812-590-7160"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2627 Charlestown Rd",
            "address_purpose": "LOCATION",
            "city": "New Albany",
            "state": "IN",
            "postal_code": "47150",
            "country_code": "US",
            "telephone_number": "812-944-1550",
            "fax_number": "812-725-7865",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "914 E Broadway",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "40204",
            "country_code": "US",
            "telephone_number": "502-589-8600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "914 E Broadway",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "40204",
            "country_code": "US",
            "telephone_number": "502-589-8600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANSON",
        "first_name": "ALLISON",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "PSY.D., HSPP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-18",
        "last_updated": "2019-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KY",
            "license": "242904",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20043275B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200542700A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Albany, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2019; 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.