Individual provider Active NPI

Nathaniel James Hansen, M.D.

  • Psychiatry Physician
  • Vestavia Hills, AL
National Provider Identifier
1619135563
Registry record updated Mar 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
30377 Issued in AL
Practice address
3037 Massey Rd
Vestavia Hills, AL 35216-3603
Phone
(205) 874-9805
Fax
(205) 874-9806
NPI assigned
May 28, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 30377 AL Primary

Addresses

Primary practice location

3037 Massey Rd
Vestavia Hills, AL 35216-3603

Mailing address

3037 Massey Rd
Vestavia Hills, AL 35216-3603
Phone (205) 874-9805

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121022000657 AL Practitioner - Psychiatry 2466602727 Practice locations: Vestavia, AL

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Alabama School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3037 Massey Rd
Vestavia, AL 35216-3603
Phone (205) 874-9805

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
30377ALMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eric Crowe, M.D., LLC Single Specialty CurrentSince Mar 12, 2023 Accepting new patients
Brookwood Psychology LLC Single Specialty CurrentSince Mar 12, 2023 Accepting new patients

Locations

2018 Medical Center Dr
Ste 311
Birmingham, AL 35209
Phone (205) 329-7805

3037 Massey Rd
Vestavia Hills, AL 35216
Phone (205) 874-9805

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1211932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678320000000",
    "number": "1619135563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3037 MASSEY RD",
            "city": "VESTAVIA HILLS",
            "state": "AL",
            "postal_code": "352163603",
            "telephone_number": "205-874-9805",
            "fax_number": "205-874-9806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3037 MASSEY RD",
            "city": "VESTAVIA HILLS",
            "state": "AL",
            "postal_code": "352163603",
            "telephone_number": "205-874-9805",
            "fax_number": "205-874-9806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "NATHANIEL",
        "middle_name": "JAMES",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-28",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AL",
            "license": "30377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vestavia Hills, AL

Sources for this page

Verify at the official NPI Registry.