Peter John Hansen, PHD

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

2072057 Issued in WI

Practice address

2717 N Grandview Blvd
Suite 110
Waukesha, WI 53188-1672

Phone

(414) 303-4205

NPI assigned

Oct 13, 2006

Last updated

Jun 20, 2013By 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

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, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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.

• Hansen Therapy, LLC

  • Counseling Psychologist
  • Waukesha, WI
  • NPI 1093805095
  Medicare reassignment NPD Authorized official
• Allied Counseling Services, S.C.

  • Clinical Psychologist
  • Waukesha, WI
  • NPI 1003867813
  NPD (past)
• Glassman & Stanik Consulting Psychologists, LLC

  • Clinical Neuropsychologist
  • Milwaukee, WI
  • NPI 1720105877
  NPD (past)
• Lakefront Wellness Center, SC

  • Clinical Psychologist
  • Pewaukee, WI
  • NPI 1316024847
  NPD (past)
• Dennis R Brightwell, MD, SC

  • Psychiatry Physician
  • Woodstock, IL
  • NPI 1003046046
  NPD (past)

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371686400000",
    "number": "1619067600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2717 N GRANDVIEW BLVD",
            "address_2": "SUITE 110",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531881672",
            "telephone_number": "414-303-4205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2717 N GRANDVIEW BLVD",
            "address_2": "SUITE 110",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531881672",
            "telephone_number": "414-303-4205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "PETER",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2013-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "WI",
            "license": "2072057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39130500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan R Hanosh, RPH
• Hansen Therapy, LLC
• Denise Renee Hansen, LPN
• Mariah Lynn Hansen, MS
• Marie Hansen, MS
• Sarah P. Hansen, MD
• Tammy Ann Hansen, O.T.R
• Connie Jane Hanson, LPN
• Emily Hanson
• Joslyn Grace Hanson

• Counseling Psychologist in Waukesha, WI
• Providers in Waukesha, WI by specialty
• Counseling Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2013; 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.