Theressa J Hanson, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

370 Issued in ND

Practice address

1701 Burnt Boat Dr
Second Floor
Bismarck, ND 58503-0812

Phone

(701) 323-0924

Fax

(701) 323-0935

NPI assigned

Jan 23, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/23247/brand/1/csg/1/fhir/r4

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.

• Chambers & Blohm Psychological

  • Clinical Psychologist
  • Bismarck, ND
  • NPI 1114045465
  NPD (past)
• Krumm & Co., PLLC

  • Psychologist
  • Bismarck, ND
  • NPI 1568239903
  NPD (past)
• United Hospital District Inc.

  • Rural Health Clinic/Center
  • Fairmont, MN
  • NPI 1144984766
  NPD (past)

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201478400000",
    "number": "1831243088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 BURNT BOAT DR",
            "address_2": "SECOND FLOOR",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585030812",
            "telephone_number": "701-323-0924",
            "fax_number": "701-323-0935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 BURNT BOAT DR",
            "address_2": "SECOND FLOOR",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585030812",
            "telephone_number": "701-323-0924",
            "fax_number": "701-323-0935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSON",
        "first_name": "THERESSA",
        "middle_name": "J",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2008-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "ND",
            "license": "370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12974",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00189591",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ND",
            "identifier": "HAN27931",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittany Hanson, RN
• Carrie Hanson, LSW
• Christian A Hanson, DPT, PT
• Judy M Hanson, PT
• Tara Jo Hanson, LSCW
• Tina Hanson
• Angie T Hansted
• Morgan Hansted, OD
• Thomas S Hansted, O.D.
• Jennifer Hanten

• Psychologist in Bismarck, ND
• Providers in Bismarck, ND by specialty
• Psychologist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2008; 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.