DR. CARL RICHARD HANSEN M.D. NPI 1508114810

NPI Information

NPI: 1508114810
Provider Name: DR. CARL RICHARD HANSEN, M.D.
Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Individual

Specialization: Child & Adolescent Psychiatry

PECOS Registration: Yes

Address:
4601 EXCELSIOR BLVD
SUITE 300
ST LOUIS PARK, MN
ZIP 55416
Phone: (952) 920-6100
Get Directions

DR. Carl Richard Hansen, M.D. is a child and adolescent psychiatry psychiatry neurology in St Louis Park, MN. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. DR. Carl Richard Hansen, M.D. NPI is 1508114810. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4601 EXCELSIOR BLVD
SUITE 300
ST LOUIS PARK, MN
ZIP 55416-960
Phone: (952) 920-6100

The NPI 1508114810 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/16/2012 and was last updated on 8/16/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084B0040X	Psychiatry & Neurology	Behavioral Neurology & Neuropsychiatry	26124	MINNESOTA	No
2	2084P0005X	Psychiatry & Neurology	Neurodevelopmental Disabilities	26124	MINNESOTA	No
3	2084P0800X	Psychiatry & Neurology	Psychiatry	26124	MINNESOTA	No
4	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	26124	MINNESOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	D73263	MEDICARE UPIN	MINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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