DR. BRIAN HANSEN (NPI# 1497068910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497068910 |
| Entity Type | Individual |
| Full Name | DR. BRIAN HANSEN |
| Credential | PH.D. |
| Practice Address |
125 East 300 South Suite 207 Provo UT 84606-5156 |
| Mailing Address |
993 East 300 South Provo UT 84606-5156 |
| Practice Telephone | 8014776940 |
| Mailing Telephone | 8013102133 |
| Enumeration Date | 2010-07-26 |
| Last Update Date | 2016-09-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
8918949-2501 | UT | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235797911 | Brian William Hansen | Pharmacist | N6719 Highway 42, Algoma, WI 54201-9703 | 2019-05-29 |
| 1063078871 | Brian Thomas Hansen | Chiropractor | 1920 Rue St Ste 11, Council Bluffs, IA 51503-3601 | 2019-05-16 |
| 1477868602 | Brian Hansen | Social Worker | 480 N. Main Street, Leeds, UT 84746-0993 | 2010-08-12 |
| 1164748992 | Brian Scott Hansen | Chiropractor | 401 South Pelham Street, Advanced Health, Rhinelander, WI 54501 | 2010-04-19 |
| 1689145427 | Brian Kent Hansen | Registered Nurse | 1800 W Charleston Blvd, Las Vegas, NV 89102-2329 | 2018-12-05 |
| 1609306968 | Brian Hansen | Family Medicine | 465 Memorial Dr, Pocatello, ID 83201-4008 | 2017-06-19 |
| 1083934533 | Brian J Hansen | Internal Medicine | 1390 University Ave W, Saint Paul, MN 55104-4001 | 2010-06-07 |
| 1255345492 | Brian J Hansen | Family Medicine | 1720 Central Ave E, Suite Fmc, Hampton, IA 50441-1859 | 2006-07-27 |
| Street Address |
125 EAST 300 SOUTH SUITE 207 |
| City | PROVO |
| State | UT |
| Zip Code | 84606-5156 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053935551 | Olivia Stiles | Specialist/Technologist | 200 E 515 N, Provo, UT 84606 | 2020-06-01 |
| 1417439076 | Quin Spencer Volpe | Counselor | 1035 E 560 N, Provo, UT 84606 | 2018-08-30 |
| 1700365434 | Hyunwook Lee | Specialist/Technologist | 1369 S 1500 E, Provo, UT 84606 | 2018-08-13 |
| 1598268930 | Victor Bert Arthur Moxley | Specialist | 290 N 300 E, Provo, UT 84606 | 2018-03-12 |
| 1184132623 | Academy Dental LLC | Advanced Practice Dental Therapist | 488 N 100 E St., Provo, UT 84606 | 2018-01-18 |
| 1720433485 | Sean Lamb | Counselor | 231 S. 100 E., Provo, UT 84606 | 2016-05-02 |
| 1508236795 | Forever Young Dentistry Pllc | Clinic/Center | 2335 S. State Street, Ste #200, Provo, UT 84606 | 2015-09-30 |
| 1558766014 | Nancy Huber | Physician Assistant | Mountainland Community Health Center, 529 South State Street, Provo, UT 84606 | 2014-10-27 |
| 1356778377 | Myrna Suzanne Gillis | Marriage & Family Therapist | 1726 Buckley Drive, Provo, UT 84606 | 2013-10-04 |
| 1558651067 | Melissa Anne Mccreary | Counselor | 151 S.state St. University Ave., Ste 1400, Provo, UT 84606 | 2011-04-18 |
| Find all providers in zip 84606 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255999637 | Thomas Golightly | Psychologist | 1500 Wsc Byu, Provo, UT 84602 | 2019-05-31 |
| 1639732571 | Scott A Baldwin | Psychologist | 1190 N 900 E Ofc 285, Provo, UT 84604-3536 | 2019-04-16 |
| 1295004620 | Jennifer Tamar Brown | Psychologist | 44 W 400 N Apt 6, Provo, UT 84601-8437 | 2011-12-13 |
| 1720296296 | Sally Hess Barlow | Psychologist | 285 Tlrb Byu, Provo, UT 84602-8626 | 2007-05-18 |
| 1497888606 | Stevan Lars Nielsen | Psychologist | 1526 Wsc, Byu, Provo, UT 84602 | 2007-03-14 |
| 1053408682 | R. Lynn Richards | Psychologist | 1432 E. 850 S., Provo, UT 84606 | 2006-10-06 |
| 1922101849 | Richard Allen Moody | Psychologist | 1500 Wsc, Counseling and Career Center - Byu, Provo, UT 84602-7906 | 2006-09-06 |
| 1386600450 | Juergen Erich Korbanka | Psychologist | 750 North 200 West, Provo, UT 84601 | 2006-04-26 |
| 1992703615 | Allan Roe | Psychologist | 1190 N 900 E, Suite 204, Provo, UT 84604-3536 | 2005-07-07 |
| 1467074179 | Daniel Brice Kay | Psychologist | 3549 N University Ave Ste 200, Provo, UT 84604-4417 | 2020-05-15 |
| Find all providers in PROVO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.