Active NPI
Jenna Hanson, PSY.D.
- Psychologist
- Cambridge, MA
National Provider Identifier
1952731697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 11265
- Practice address
- 1953 Massachusetts Ave, #400819
Cambridge, MA 02140 - Phone
- (617) 249-3313
- NPI assigned
- Nov 15, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 11265 | MA | Primary |
Addresses
Primary practice location
1953 Massachusetts Ave, #400819
Cambridge, MA 02140
Mailing address
1953 Massachusetts Ave, #400819
Cambridge, MA 02140
Phone (617) 249-3313
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11265 | MA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wright Institute | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinic/Center
- Berkeley, CA
- NPI 1174807507
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606953600000",
"number": "1952731697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1953 MASSACHUSETTS AVE, #400819",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "02140",
"telephone_number": "617-249-3313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1953 MASSACHUSETTS AVE, #400819",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "02140",
"telephone_number": "617-249-3313"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSON",
"first_name": "JENNA",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-15",
"last_updated": "2020-12-03",
"certification_date": "2020-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "11265",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cambridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.