Andrea G. Hansell, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301006827 Issued in MI

Practice address

110 E Kingsley St
Ann Arbor, MI 48104-1138

Phone

(734) 930-1664

NPI assigned

Dec 5, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1770641060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3117 W DOBSON PL",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481052581",
            "telephone_number": "734-662-1610",
            "fax_number": "734-665-2841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E KINGSLEY ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481041138",
            "telephone_number": "734-930-1664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSELL",
        "first_name": "ANDREA",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301006827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH PROVIDER ID",
            "identifier": "11278037",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gregory L Hanna, MD
• Monica Kinzey Hanna, PT
• Kathryn Erin Hannan, LMT
• Mark Charles Hannibal, M.D., PH.D.
• Susanna M Hanrath, LMSW
• Susan Hansell, RN, BSN, MBA
• Mark Richard Hanselman, D.D.S.
• Barbara Marie Hansen, MSW
• Darby Katherine Hansen, CNM
• Jesse Evan Hansen

• Clinical Psychologist in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Clinical Psychologist in Michigan

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.