Individual provider Active NPI

Steven Hansen, PSYD,PSY

  • Clinical Psychologist
  • Smyrna, TN
National Provider Identifier
1760823348
Registry record updated Sep 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
P0000003586 Issued in TN
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

Updated by the provider on Sep 27, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240124000873 TN Practitioner - Clinical Psychologist 2264738673 Reassigns benefits to 1 organization

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
Sabin Behavioral HealthGroup PAC ID 7517121817, 5 clinicians

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

LicenseStateTypeSpecialty
PSY.0004288COMDClinical Psychologist
P0000003586TNMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sabin Behavioral Health Clinical Neuropsychologist CurrentSince Dec 13, 2023 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.

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

Verify at the official NPI Registry.