Active NPI
Denise Joan Hanson, PSY.D.
- Clinical Psychologist
- Wilmington, NC
National Provider Identifier
1649258583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2572
- Practice address
- 4415 Grey Oaks CT
Wilmington, NC 28412-2543 - Phone
- (910) 352-4657
- NPI assigned
- Dec 31, 2005
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 7260 | MA | |
| Clinical Psychologist | 103TC0700X | 2572 | NC | Primary |
Addresses
Primary practice location
4415 Grey Oaks CT
Wilmington, NC 28412-2543
Mailing address
4415 Grey Oaks CT
Wilmington, NC 28412-2543
Phone (910) 352-4657
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1515 Medical Ctr Dr
Wilmington, NC 28401-7507
Phone (910) 352-4657
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2572 | NC | MD | Clinical Psychologist |
| 7260 | MA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hanson Psychological | Clinical | Current | Accepting new patients |
| Center for Integrated Health Care | Past | Accepting new patients |
Locations
4000 Shipyard Blvd
Ste 100
Wilmington, NC 28403
Phone (910) 792-5570
1515 Medical Center Dr
Wilmington, NC 28401
Phone (910) 352-4657
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.
-
- Clinical Psychologist
- Wilmington, NC
- NPI 1770238560
-
- Health Service Clinic/Center
- Wilmington, NC
- NPI 1306946090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667433600000",
"number": "1649258583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4415 GREY OAKS CT",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284122543",
"telephone_number": "910-352-4657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4415 GREY OAKS CT",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284122543",
"telephone_number": "910-352-4657"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSON",
"first_name": "DENISE",
"middle_name": "JOAN",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-12-31",
"last_updated": "2022-11-03",
"certification_date": "2022-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "7260",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NC",
"license": "2572",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; 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.