Active NPI
Nitu Hans, PH.D.
- Clinical Neuropsychologist
- Fremont, CA
National Provider Identifier
1881811800
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- PSY 18916
- Practice address
- 39803 Paseo Padre Pkwy
Ste B
Fremont, CA 94538-2992 - Phone
- (510) 299-3184
- Fax
- (510) 315-2027
- NPI assigned
- Apr 19, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | PSY 18916 | CA | Primary |
| Clinical Psychologist | 103TC0700X | PSY 18916 | CA |
Addresses
Primary practice location
39803 Paseo Padre Pkwy
Ste B
Fremont, CA 94538-2992
Mailing address
39803 Paseo Padre Pkwy, Suite B
Fremont, CA 94538-2992
Phone (510) 299-3184
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101122000332 | CA | Practitioner - Clinical Psychologist | 8224224886 | Practice locations: Fremont, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
39803 Paseo Padre Pkwy
Suite B
Fremont, CA 94538-2992
Phone (510) 299-3184
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 18916 | CA | MD | Clinical Psychologist |
| 18916 | CA | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491868800000",
"number": "1881811800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39803 PASEO PADRE PKWY, SUITE B",
"city": "FREMONT",
"state": "CA",
"postal_code": "945382992",
"telephone_number": "510-299-3184",
"fax_number": "510-315-2027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39803 PASEO PADRE PKWY",
"address_2": "STE B",
"city": "FREMONT",
"state": "CA",
"postal_code": "945382992",
"telephone_number": "510-299-3184",
"fax_number": "510-315-2027"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANS",
"first_name": "NITU",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-19",
"last_updated": "2017-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "CA",
"license": "PSY 18916",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY 18916",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fremont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.