Active NPI
Steven Hansen, PSYD,PSY
- Clinical Psychologist
- Smyrna, TN
National Provider Identifier
1760823348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- P0000003586
- Practice address
- 695 President PL Ste 202
Smyrna, TN 37167-5681 - Phone
- (615) 269-4990
- NPI assigned
- Jul 11, 2013
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | P0000003586 | TN | Primary |
| Clinical Neuropsychologist | 103G00000X | 3586 | TN | |
| Clinical Psychologist | 103TC0700X | PSY.0004288 | CO |
Addresses
Primary practice location
695 President PL Ste 202
Smyrna, TN 37167-5681
Mailing address
695 President PL Ste 202
Smyrna, TN 37167-5681
Other practice location 1
875 W Moreno Ave
Colorado Springs, CO 80905-1731
Phone (719) 572-6100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
695 President PL
Suite 202
Smyrna, TN 37167-5681
Phone (615) 269-4990
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY.0004288 | CO | MD | Clinical Psychologist |
| P0000003586 | TN | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sabin Behavioral Health | Clinical Neuropsychologist | Current | Accepting new patients |
Locations
695 President Pl
Ste 202
Smyrna, TN 37167
Phone (615) 269-4990
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 and National Provider Directory roles.
-
- Clinical Neuropsychologist
- Smyrna, TN
- NPI 1619160090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664236800000",
"number": "1760823348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "695 PRESIDENT PL STE 202",
"city": "SMYRNA",
"state": "TN",
"postal_code": "371675681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "695 PRESIDENT PL STE 202",
"city": "SMYRNA",
"state": "TN",
"postal_code": "371675681",
"telephone_number": "615-269-4990"
}
],
"practiceLocations": [
{
"address_1": "875 W Moreno Ave",
"address_purpose": "LOCATION",
"city": "Colorado Springs",
"state": "CO",
"postal_code": "809051731",
"country_code": "US",
"telephone_number": "719-572-6100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HANSEN",
"first_name": "STEVEN",
"credential": "PSYD,PSY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-07-11",
"last_updated": "2022-09-27",
"certification_date": "2022-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TN",
"license": "P0000003586",
"primary": true
},
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "TN",
"license": "3586",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CO",
"license": "PSY.0004288",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Smyrna, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; 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.