Individual provider Active NPI

David Hansen, PHD

  • Mental Health Counselor
  • Hudson, NY
National Provider Identifier
1659363422
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
008399NYS Issued in NY
Practice address
158 Union Tpke Apt 401B
Hudson, NY 12534-1539
Phone
(845) 546-7699
NPI assigned
Aug 18, 2005
Last updated
Sep 27, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 008399NYS NY Primary

Addresses

Primary practice location

158 Union Tpke Apt 401B
Hudson, NY 12534-1539

Mailing address

158 Union Tpke Apt 401B
Hudson, NY 12534-1539
Phone (845) 546-7699

Other practice location 1

37 Fairmont Ave
Poughkeepsie, NY 12603-2423
Phone (845) 485-1171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20111117000097 NY Practitioner - Clinical Psychologist 9234303850 Practice locations: Hudson, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

158 Union Tpke
Apt 401B
Hudson, NY 12534-1539
Phone (845) 546-7697

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
008399NYSNYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
David M Hansen PHD Mental Health Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1659363422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 UNION TPKE APT 401B",
            "city": "HUDSON",
            "state": "NY",
            "postal_code": "125341539",
            "telephone_number": "845-546-7699",
            "fax_number": "845-546-7697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 UNION TPKE APT 401B",
            "city": "HUDSON",
            "state": "NY",
            "postal_code": "125341539",
            "telephone_number": "845-546-7699"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "37 Fairmont Ave",
            "address_purpose": "LOCATION",
            "city": "Poughkeepsie",
            "state": "NY",
            "postal_code": "126032423",
            "country_code": "US",
            "telephone_number": "845-485-1171",
            "fax_number": "845-485-1171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "DAVID",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-18",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "008399NYS",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, NY

Sources for this page

Verify at the official NPI Registry.