DR. PETER JOHN HANSEN (NPI# 1619067600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619067600 |
| Entity Type | Individual |
| Full Name | DR. PETER JOHN HANSEN |
| Credential | PHD |
| Practice Address |
2717 N Grandview Blvd Suite 110 Waukesha WI 53188-1672 |
| Practice Telephone | 4143034205 |
| Mailing Telephone | 4143034205 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2013-06-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
2072057 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 39130500 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982049110 | Peter John Hansen | Contractor | 1380 Detroit St, 313, Denver, CO 80206-2491 | 2013-05-01 |
| 1447272646 | Peter Lowell Hansen | Family Medicine | 115 15th Ave, Idaho Springs, CO 80452-0000 | 2006-07-24 |
| 1700939212 | Peter Hansen | Physical Therapist | 310 W Main St, Sparta, WI 54656 | 2007-01-19 |
| 1740393990 | Peter Hansen | Pharmacist | 5901 East 7th Street, Long Beach, CA 90822 | 2006-08-15 |
| 1972587590 | Peter Owen Hansen | Family Medicine | 805 Frontage Rd, Ste. 123, Kenai, AK 99611-7755 | 2005-12-06 |
| Street Address |
2717 N GRANDVIEW BLVD SUITE 110 |
| City | WAUKESHA |
| State | WI |
| Zip Code | 53188-1672 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942291042 | Lynn Rose Maloney | Nurse Practitioner | 2717 N Grandview Blvd, Suite 202, Waukesha, WI 53188-1672 | 2005-10-31 |
| 1134754146 | Jane M Schneider Phd | Psychologist | 2717 N Grandview Blvd, Waukesha, WI 53188-1672 | 2020-03-10 |
| 1215278221 | Kathryn M Dvorak | Nurse Practitioner | 2717 N Grandview Blvd, Ste 202, Waukesha, WI 53188-1672 | 2013-03-15 |
| 1154674448 | Matthew Ray Kangas | Social Worker | 2717 N Grandview Blvd, Suite 303, Waukesha, WI 53188-1672 | 2012-10-24 |
| 1669778619 | Paula J Hillmann | Counselor | 2717 N Grandview Blvd, #112, Waukesha, WI 53188-1672 | 2011-02-08 |
| 1629214440 | Scott J. Woodley | Psychologist | 2717 N Grandview Blvd, Suite 303, Waukesha, WI 53188-1672 | 2008-12-29 |
| 1306067129 | Denise K Reese | Psychologist | 2717 N Grandview Blvd, Ste 202, Waukesha, WI 53188 | 2007-05-01 |
| 1770703704 | Denise K Reese Phd Inc | Psychologist | 2717 N Grandview Blvd, Ste 202, Waukesha, WI 53188 | 2007-05-01 |
| 1326268236 | Deborah A Stec Phd Inc | Psychologist | 2717 N Grandview Blvd, Ste 202, Waukesha, WI 53188 | 2007-04-26 |
| 1306922919 | Holly J Reich | Nurse Practitioner | 2717 N Grandview Blvd, #202, Waukesha, WI 53188 | 2006-10-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336787126 | Nicole Lee Berg-johnson | Nurse Practitioner | 820 Crestwood Dr., Waukesha, WI 53188 | 2019-12-12 |
| 1013475706 | Rachel Mueller | Occupational Therapist | 29667 Summit Ave, S11, Waukesha, WI 53188 | 2019-03-12 |
| 1861962649 | Emily Elizabeth Seefeld | Occupational Therapy Assistant | 29667 Summit Ave S11, Waukesha, WI 53188 | 2018-12-05 |
| 1003393307 | Ashley Susan Callahan | Dental Hygienist | 711 W. Moreland Blvd., Suite 204, Waukesha, WI 53188 | 2018-07-19 |
| 1245741321 | Melissa Weir | Case Manager/Care Coordinator | 514 Riverview Avenue, Waukesha, WI 53188 | 2017-10-17 |
| 1093233629 | Patricia Marie Sombrio | Dental Hygienist | 711 Moreland Blvd 204, Waukesha, WI 53188 | 2017-09-04 |
| 1134660244 | Bdg of Wisconsin, Inc. | Behavioral Analyst | N19w2309 Riverwood Drive, Suite 350 Pmb 314, Waukesha, WI 53188 | 2017-03-09 |
| 1255888731 | Lynne Sarah Alva | Dental Hygienist | 711 Moreland Blvd, Suite 204, Waukesha, WI 53188 | 2016-09-01 |
| 1881069730 | Michelle Koch | Occupational Therapist | 29667 Summit Ave. S11, Waukesha, WI 53188 | 2015-12-03 |
| 1952711012 | Rhonda Schroeder | Dental Hygienist | W286 N991 Shepherds Way, Waukesha, WI 53188 | 2014-04-29 |
| Find all providers in zip 53188 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093805095 | Hansen Therapy, LLC | Psychologist | 2717 N Grandview Blvd, Suite 110, Waukesha, WI 53188-1672 | 2006-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629607619 | Eleanor Arlene Tidball | Psychologist | 13320 W Grange Ave, New Berlin, WI 53151-8131 | 2020-04-02 |
| 1134769441 | Graham Gardner Knowlton | Psychologist | Milwaukee Vamc 5000 W National Ave, Milwaukee, WI 53295-0001 | 2020-01-14 |
| 1477197929 | Samuel David Lustgarten | Psychologist | 1025 W Johnson St Rm 303b, Madison, WI 53706-1706 | 2019-10-28 |
| 1467095703 | Ifrah Hameed | Psychologist | 1849 N Doctor M.l.k. Jr Dr# 101, Milwaukee, WI 53212 | 2019-10-18 |
| 1770133555 | Kerrin Sendrowitz O'connor | Psychologist | 1509 S Outagamie St, Appleton, WI 54914-5580 | 2019-09-13 |
| 1982193546 | Samantha Jo Schwartz-oscar | Psychologist | 2809 School Rd, Greenleaf, WI 54126-9209 | 2018-05-08 |
| 1790202851 | Wisconsin Lutheran Child & Family Service | Psychologist | 2669 N Richards St, Milwaukee, WI 53212-2850 | 2017-08-29 |
| 1902337785 | Carla Mae Davey | Psychologist | 333 E Campus Mall Rm 7, University Health Services, Madison, WI 53715-1740 | 2017-03-23 |
| 1558739300 | Hayley Shilling | Psychologist | 6602 Grand Teton Plz Ste 100, Madison, WI 53719-2905 | 2015-09-10 |
| 1568850840 | Belinda Gutierrez | Psychologist | 2500 Overlook Terrace, 116b, William S. Middleton Memorial Veterans Hospital, Madison, WI 53705-2286 | 2015-01-08 |
| Find all providers with the same taxonomy | ||||
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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.