Active NPI
Chrisotpher Lloyd Hansen, PH.D.
- Psychologist
- Fort Hood, TX
National Provider Identifier
1699765495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1497
- Practice address
- 40022 Support Ave
Fort Hood, TX 76544-4752 - Phone
- (254) 287-7281
- NPI assigned
- Oct 24, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 1497 | AL | Primary |
Addresses
Primary practice location
40022 Support Ave
Fort Hood, TX 76544-4752
Mailing address
10709 Boswell Lane
Potomac, MD 20854-6307
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318636800000",
"number": "1699765495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10709 BOSWELL LANE",
"city": "POTOMAC",
"state": "MD",
"postal_code": "208546307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40022 SUPPORT AVE",
"city": "FORT HOOD",
"state": "TX",
"postal_code": "765444752",
"telephone_number": "254-287-7281"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSEN",
"first_name": "CHRISOTPHER",
"middle_name": "LLOYD",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-24",
"last_updated": "2011-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "AL",
"license": "1497",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Hood, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.