Individual provider Active NPI

Steven N Hannant, PSY.D.

  • Psychologist
  • Wilson, NC
National Provider Identifier
1811013790
Registry record updated Jun 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
3681 Issued in NC
Practice address
2401 Wooten Blvd SW
Suite K
Wilson, NC 27893-4464
Phone
(252) 291-0735
Fax
(252) 291-2890
NPI assigned
Mar 22, 2007
Last updated
Jun 4, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 3681 NC Primary

Addresses

Primary practice location

2401 Wooten Blvd SW
Suite K
Wilson, NC 27893-4464

Mailing address

2401 Wooten Blvd SW
Suite K
Wilson, NC 27893-4464
Phone (252) 291-0735

Other identifiers 1

IdentifierTypeStateIssuer
6001132MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20120529000610 NC Practitioner - Clinical Psychologist 3274709175 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Psychological Mobile Services, PAGroup PAC ID 9931349040, 3 clinicians

Practice addresses (Care Compare)

2401 -K Wooten Boulevard
Wilson, NC 27893-4464
Phone (252) 291-0735

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3681NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological Mobile Services, PA Psychologist CurrentSince Nov 1, 2012 Accepting new patients
Wayne Cares Inc. Past Accepting new patients
Psychological Mobile Services Psychologist Past Accepting new patients

Locations

105 S Ellington St
Clayton, NC 27520
Phone (919) 243-0454

2401 Wooten Blvd SW
Ste K
Wilson, NC 27893
Phone (252) 230-0293

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370304000000",
    "number": "1811013790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 WOOTEN BLVD SW",
            "address_2": "SUITE K",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278934464",
            "telephone_number": "252-291-0735",
            "fax_number": "252-291-2890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 WOOTEN BLVD SW",
            "address_2": "SUITE K",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278934464",
            "telephone_number": "252-291-0735",
            "fax_number": "252-291-2890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNANT",
        "first_name": "STEVEN",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2013-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "3681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6001132",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilson, NC

Sources for this page

Verify at the official NPI Registry.