Organization Active NPI

Hansen-Cohen Associates in Psychology, Inc

  • Psychologist
  • Fort Myers, FL
National Provider Identifier
1770877318
Registry record updated May 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY7935 Issued in FL
Legal business name
HANSEN-COHEN ASSOCIATES IN PSYCHOLOGY, INC
Practice address
4301 Veronica S Shoemaker Blvd Ste B
Fort Myers, FL 33916-2216
Phone
(239) 274-7792
Fax
(239) 247-5344
NPI assigned
May 31, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2011

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

Authorized official

Name
Dr. Christina Marie Hansen, PSY.D.
Title
President/Licensed Psychologist
Phone
(239) 274-7792

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X PY7935 FL Primary

Addresses

Primary practice location

4301 Veronica S Shoemaker Blvd Ste B
Fort Myers, FL 33916-2216

Mailing address

4301 Veronica S Shoemaker Blvd Ste B
Fort Myers, FL 33916-2216
Phone (239) 274-7792

Other identifiers 1

IdentifierTypeStateIssuer
PY 7935OtherFLSTATE OF FLORIDA DEPARTMENT OF HEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110802000590 FL Part B Supplier - Clinic/Group Practice 0345419636 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Myers, FL

National Provider Directory

National Provider Directory

Locations

4301 Veronica S Shoemaker Blvd
Ste B
Fort Myers, FL 33916
Phone (239) 274-7792

5237 Summerlin Commons Blvd
Ste 116
Fort Myers, FL 33907
Phone (239) 274-7792

4301 Veronica S Shoemaker Blvd
#B
Fort Myers, FL 33916
Phone (239) 274-7792

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1306800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306800000000",
    "number": "1770877318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 VERONICA S SHOEMAKER BLVD STE B",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339162216",
            "telephone_number": "239-274-7792",
            "fax_number": "239-247-5344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 VERONICA S SHOEMAKER BLVD STE B",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339162216",
            "telephone_number": "239-274-7792",
            "fax_number": "239-247-5344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANSEN-COHEN ASSOCIATES IN PSYCHOLOGY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-31",
        "last_updated": "2011-05-31",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT/LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "239-274-7792",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY7935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF FLORIDA DEPARTMENT OF HEALTH",
            "identifier": "PY 7935",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.