David Edward Hansen, PH.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

849 Issued in OK

Practice address

5512 S Lewis Ave
Suite 8
Tulsa, OK 74105-7140

Phone

(918) 712-9004

Fax

(918) 712-9120

NPI assigned

Jul 24, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

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

Specialty

Clinical Psychologist

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1730101817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5512 S LEWIS AVE",
            "address_2": "SUITE 8",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741057140",
            "telephone_number": "918-712-9004",
            "fax_number": "918-712-9120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5512 S LEWIS AVE",
            "address_2": "SUITE 8",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741057140",
            "telephone_number": "918-712-9004",
            "fax_number": "918-712-9120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "DAVID",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "OK",
            "license": "849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James G. Hansard, M.D.
• Meadow Marina Hansen Gonzalez
• Alison D. Hansen, OD
• Andrewe Steven Hansen, MSN, APRN-CNP, FNP,
• Christian Hansen
• Gina Hansen, LPC CANDIDATE
• Jennifer Nicole Hansen
• Coby Hanshaw
• Jennifer L Hanslick, MD
• Blake Alexander Hanson, PA-C

• Clinical Neuropsychologist in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Clinical Neuropsychologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.

Verify at the official NPI Registry.