Jennis E. Hanna, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

35SI00338600 Issued in NJ

Practice address

60 Evergreen PL FL 10
East Orange, NJ 07018-2107

Phone

(973) 395-5500

Fax

(973) 395-9916

NPI assigned

Jul 2, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

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.

• Youth Consultation Service Inc

  • Community/Behavioral Health Agency
  • East Orange, NJ
  • NPI 1205975927
  NPD (past)
• Youth Consultation Service, Inc

  • Community/Behavioral Health Agency
  • Union City, NJ
  • NPI 1447013735
  NPD (past)

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881891836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 GATES AVE",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070423213",
            "telephone_number": "973-655-0432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 EVERGREEN PL FL 10",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070182107",
            "telephone_number": "973-395-5500",
            "fax_number": "973-395-9916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNA",
        "first_name": "JENNIS",
        "middle_name": "E.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35SI00338600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Simone Joyce Hairston, RD
• Haitian American Adult Recreation Center
• Natalie Hall, PA
• Henry Duane Hamilton I, LCADC, ICADC, CAMF
• Handswlove,LLC
• Rajanigandhi Hanumanthu, M.D
• Happy Days Adult Day Healthcare Center
• Happy Feet Podiatry LLC
• Happy Feet Podiatry LLC
• Garfield Harford, DPM

• Clinical Psychologist in East Orange, NJ
• Providers in East Orange, NJ by specialty
• Clinical Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.