Active NPI
Lotte Smith-Hansen, PH.D.
- Clinical Psychologist
- Cambridge, MA
National Provider Identifier
1679773592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 9533
- Practice address
- 49 Hancock St
# 107
Cambridge, MA 02139-3188 - Phone
- (617) 299-9789
- NPI assigned
- Jul 19, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 9533 | MA | Primary |
Addresses
Primary practice location
49 Hancock St
# 107
Cambridge, MA 02139-3188
Mailing address
49 Hancock St
# 107
Cambridge, MA 02139-3188
Phone (617) 299-9789
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 6, 2025 through Apr 6, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9533 | MA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369872000000",
"number": "1679773592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "49 HANCOCK ST",
"address_2": "# 107",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021393188",
"telephone_number": "617-299-9789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "49 HANCOCK ST",
"address_2": "# 107",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021393188",
"telephone_number": "617-299-9789"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH-HANSEN",
"first_name": "LOTTE",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-19",
"last_updated": "2013-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "9533",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cambridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.