Mimi Sutton Hanzel, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY16073 Issued in CA

Practice address

450 Bauchet St
Forensic Inpatient Program Twin Towers Correctional
Los Angeles, CA 90012-2907

Phone

(213) 893-5391

NPI assigned

Oct 17, 2008

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

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

{
    "created_epoch": "1224201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224201600000",
    "number": "1912159260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 BAUCHET ST.",
            "address_2": "FORENSIC INPATIENT PROGRAM AT TWIN TOWERS CORRECTIONAL",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90012",
            "telephone_number": "213-893-5391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 BAUCHET ST",
            "address_2": "FORENSIC INPATIENT PROGRAM TWIN TOWERS CORRECTIONAL",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900122907",
            "telephone_number": "213-893-5391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANZEL",
        "first_name": "MIMI",
        "middle_name": "SUTTON",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-17",
        "last_updated": "2008-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY16073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jermaine L Hanspard
• Jutta M Hanss, PT
• Mark Robert Hanudel, MD
• Priscilla Pineda Hanudel, M.D.
• Hany Basta, M.D., Professional Corporation
• Chelsea Hanzy
• Hao Wei Zhang M.D., Inc.
• Frank Hao, M.D.
• Jennifer WJ Hao, PHARM.D.
• Ying Hao, RRT, RCP

• Psychologist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.