Eric Mitchell Hanna, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY20506 Issued in CA

Practice address

106 Thorn St
San Diego, CA 92103-5629

Phone

(619) 354-7400

NPI assigned

Nov 30, 2017

Last updated

Sep 2, 2021By the provider in NPPES

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 CA

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, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hillcrest Psychological Associates PCGroup PAC ID 1658694518, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Hillcrest Psychological Associates, PC

  • Psychologist
  • San Diego, CA
  • NPI 1124425087
  Medicare reassignment Care Compare group NPD
• Hillcrest Psychological Associates, PC

  dba Hillcrest Psychological Associates

  • Psychologist
  • San Diego, CA
  • NPI 1073047239
  NPD

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

{
    "created_epoch": "1512000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1730693672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 THORN ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921035629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 THORN ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921035629",
            "telephone_number": "619-354-7400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "106 Thorn St",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921035629",
            "country_code": "US",
            "telephone_number": "619-354-7400 x5",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANNA",
        "first_name": "ERIC",
        "middle_name": "MITCHELL",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-11-30",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY20506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kanaja Sadae Hann
• Rita Hanna Al-Kass, PHARMD
• Amanda Hanna, AMFT, APCC
• Bobbi Hanna, COTA/L
• Carol Hanna
• Grace Hanna
• Linda Habib Hanna
• Megan Renee Hanna, MOT, OTR/L
• Merna Hanna
• Michelle Hanna, PMHNP-BC, RN

• Clinical Psychologist in San Diego, CA
• Providers in San Diego, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; 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.