DR. WILLIAM JOHN HANNA PSY.D. NPI 1568611085

NPI Information

NPI: 1568611085
Provider Name: DR. WILLIAM JOHN HANNA, PSY.D.
Classification: Psychologist - 103TC0700X
Entity Type: Individual

Specialization: Clinical

Address:
123 N SAN PEDRO RD
SAN RAFAEL, CA
ZIP 94903
Phone: (415) 507-1727
Get Directions

DR. William John Hanna, PSY.D. is a clinical psychologist in San Rafael, CA. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. DR. William John Hanna, PSY.D. NPI is 1568611085. 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:

123 N SAN PEDRO RD
SAN RAFAEL, CA
ZIP 94903-271
Phone: (415) 507-1727
Fax: (415) 785-8576

The enumeration date for this NPI number is 9/9/2008 and was last updated on 9/9/2008.

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	103T00000X	Psychologist		PSY22136	CALIFORNIA	No
2	103TA0400X	Psychologist	Addiction (Substance Use Disorder)	PSY22136	CALIFORNIA	No
3	103TC0700X	Psychologist	Clinical	PSY22136	CALIFORNIA	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	PSY22136	MEDICARE OSCAR/CERTIFICATION	CALIFORNIA

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: 11/14/2023

NPI Synchronization or Removal

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