Thomas R. Hansen, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

G85011 Issued in CA

Practice address

313 Reed Blvd
Mill Valley, CA 94941-2566

Phone

(415) 336-6341

NPI assigned

Nov 17, 2006

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636934400000",
    "number": "1629142187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 REED BLVD",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949412566",
            "telephone_number": "415-336-6341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 REED BLVD",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949412566",
            "telephone_number": "415-336-6341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "THOMAS",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G85011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR",
            "identifier": "144587200",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tracy Gwin
• Anh Phuong Ha, PHD
• Analise Elisabeth Hagstrom, NP
• Ellen Hammerle, PH.D., MFT
• Ashraf Hanafy, LMT
• Anne Happel, MA
• Leslie Kathleen Hara, LPCC
• Lois Kim Hargreaves, P.T.
• Alexa Harris
• Lloyd Roderick Harris, DDS

• Psychiatry Physician in Mill Valley, CA
• Providers in Mill Valley, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.