Individual provider Active NPI

Nitu Hans, PH.D.

  • Clinical Neuropsychologist
  • Fremont, CA
National Provider Identifier
1881811800
Registry record updated Apr 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
PSY 18916 Issued in CA
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

Updated by the provider on Apr 11, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
PSY 18916CAMDClinical Psychologist
18916CAMDPediatric 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

Verify at the official NPI Registry.