Active NPI
Bruce A. Hansen, PH.D.
- Psychologist
- Hilo, HI
National Provider Identifier
1649449661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 385
- Practice address
- 101 Aupuni St
Ste. 118
Hilo, HI 96720-4246 - Phone
- (808) 961-5500
- NPI assigned
- Feb 23, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 385 | HI | Primary |
Addresses
Primary practice location
101 Aupuni St
Ste. 118
Hilo, HI 96720-4246
Mailing address
101 Aupuni St
Ste. 118
Hilo, HI 96720-4246
Phone (808) 961-5500
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 385 | HI | MD | Gerontology Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203724800000",
"number": "1649449661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 AUPUNI ST",
"address_2": "STE. 118",
"city": "HILO",
"state": "HI",
"postal_code": "967204246",
"telephone_number": "808-961-5500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 AUPUNI ST",
"address_2": "STE. 118",
"city": "HILO",
"state": "HI",
"postal_code": "967204246",
"telephone_number": "808-961-5500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSEN",
"first_name": "BRUCE",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-02-23",
"last_updated": "2008-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "HI",
"license": "385",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hilo, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.