DR. DAVID EDWARD HANSEN (NPI# 1730101817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730101817 |
| Entity Type | Individual |
| Full Name | DR. DAVID EDWARD HANSEN |
| Credential | PH.D. |
| Practice Address |
5512 S Lewis Ave Suite 8 Tulsa OK 74105-7140 |
| Practice Telephone | 9187129004 |
| Practice Fax Number | 9187129120 |
| Mailing Telephone | 9187129004 |
| Mailing Fax Number | 9187129120 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 849 | OK | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750741021 | David Charles Hansen | Radiology | 543 Tahos Road, Orinda, CA 94563 | 2016-03-01 |
| 1003105768 | David William Hansen | Pediatrics | 3229 E. Genesee St, Suite 1, Syracuse, NY 13214 | 2011-04-04 |
| 1780884247 | David Kent Hansen | Dentist | 204 East 400 North, Suite A, Salem, UT 84653 | 2007-07-23 |
| 1710185806 | David James Hansen | Psychologist | 325 Burnett Hall, University of Nebraska Lincoln, Lincoln, NE 68588-0311 | 2007-07-10 |
| 1710047865 | David John Hansen | Optometrist | 406 Rosedale Center, Pearle Vision, Roseville, MN 55113 | 2006-12-11 |
| 1194893610 | David Cardon Hansen | Chiropractor | 3220 East Baseline Rd., Suite 112, Phoenix, AZ 85042 | 2006-12-01 |
| 1326129784 | David E Hansen | Dentist | 1530 S Union Ave Ste 7, Tacoma, WA 98405-1954 | 2006-10-18 |
| 1851367056 | David Wayne Hansen | Anesthesiology | 183 W Oakland Ave, Oakland, NJ 07436-1409 | 2006-02-27 |
| 1417932062 | David Edward Hansen | Social Worker | 7 East Hendricks Street, Shelbyville, IN 46176-2124 | 2005-12-07 |
| 1790779171 | David J. Hansen | Chiropractor | 514 28 1/4 Rd, Suite 1, Grand Junction, CO 81501-4961 | 2005-08-31 |
| Street Address |
5512 S LEWIS AVE SUITE 8 |
| City | TULSA |
| State | OK |
| Zip Code | 74105-7140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902895378 | Maribeth Spanier | Psychologist | 5512 S Lewis Ave, Suite 8, Tulsa, OK 74105-7140 | 2005-10-18 |
| 1699192856 | Clinical & Neuropsychological Services | Clinical Neuropsychologist | 5512 S Lewis Ave, Suite 8, Tulsa, OK 74105-7140 | 2014-03-26 |
| 1225260433 | Mary Katherine Medeck | Counselor | 5512 S Lewis Ave, Tulsa, OK 74105-7140 | 2009-08-20 |
| 1083817563 | Carol K Dillard | Counselor | 5512 S Lewis Ave, Tulsa, OK 74105-7140 | 2007-06-11 |
| 1891911905 | Behavioral Health Inc. | Psychologist | 5512 S Lewis Ave, Tulsa, OK 74105-7140 | 2007-04-17 |
| 1497978555 | Kelli Lee King | Counselor | 5512 S Lewis Ave, Tulsa, OK 74105 | 2007-04-10 |
| 1003947151 | Susan Elizabeth Stegman | Counselor | 5512 S Lewis Ave, 9, Tulsa, OK 74105-7140 | 2007-03-08 |
| 1124187992 | River Parks Developmental Center | Psychologist | 5512 S Lewis Ave, Tulsa, OK 74105-7140 | 2006-12-08 |
| 1629141775 | Larry D Vaught | Psychologist | 5512 S Lewis Ave, Tulsa, OK 74105-7140 | 2006-11-16 |
| 1356411938 | Bette P Rector | Counselor | 5512 S Lewis Ave, Tulsa, OK 74105-7140 | 2006-11-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881208817 | Op Pharmacy LLC | Pharmacy | 2865 E. Skelly Dr., Ste 225, Tulsa, OK 74105 | 2020-09-08 |
| 1114560554 | Secure Interpretation, LLC | Neurological Surgery | 5561 South Lewis Ave, Tulsa, OK 74105 | 2019-10-17 |
| 1629547286 | Kealey Jordan Oliver | Occupational Therapist | 3223 E. 31st Steet, Tulsa, OK 74105 | 2018-11-13 |
| 1265915631 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 3516 S Peoria Ave, Tulsa, OK 74105 | 2018-09-12 |
| 1235635277 | Brenda Kay Sanders | Speech-Language Pathologist | 4911 S Detroit Ave, Tulsa, OK 74105 | 2018-03-30 |
| 1417400771 | Caroline Hunter Heineck | Speech-Language Pathologist | 3223 E. 31st St., Tulsa, OK 74105 | 2016-08-03 |
| 1437509544 | Reliance Care Health Services LLP | Home Health | 5810 S. Peoria Avenue, Tulsa, OK 74105 | 2016-06-20 |
| 1578921748 | Latisha Henderson | Case Manager/Care Coordinator | 3015 E. Skelly Drive, Suite 103, Tulsa, OK 74105 | 2016-02-03 |
| 1326424573 | Evelyn J Fennell | Nurse's Aide | 1143 E 57th Place, Tulsa, OK 74105 | 2015-08-10 |
| 1255717757 | Rebecca Ann Hughes | Dentist | 3150 E 41st St Ste 131, Tulsa, OK 74105 | 2015-08-06 |
| Find all providers in zip 74105 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154837185 | David E Hansen, Ph.d, PC | Clinical Neuropsychologist | 5512 S Lewis Ave Ste 8, Tulsa, OK 74105-7140 | 2017-12-28 |
| 1700177391 | Russell D Pella | Clinical Neuropsychologist | 5213 S Vandalia Ave, Apt. 4g, Tulsa, OK 74135-4038 | 2011-04-29 |
| 1861726663 | Mary Elizabeth Cardoni | Clinical Neuropsychologist | 5110 South Yale Avenue, Suite 103, Tulsa, OK 74135 | 2009-09-25 |
| 1407905284 | Edison Dale Jeffus Jr. | Clinical Neuropsychologist | 3220 S Peoria Ave, Suite 2, Tulsa, OK 74105-2003 | 2007-01-09 |
| 1063423994 | Terry Glen Shaw | Clinical Neuropsychologist | 7146 S Braden, Suite 500, Tulsa, OK 74136 | 2006-08-09 |
| 1427062082 | Joseph P Fritsch | Clinical Neuropsychologist | 1717b S Utica Ave, Suite 200, Tulsa, OK 74104-5333 | 2006-07-28 |
| 1457391260 | Roscoe Gordon Burrows II | Clinical Neuropsychologist | 3219 S 79th East Ave, Tulsa, OK 74145-1343 | 2006-06-08 |
| 1457711251 | Neurometrics, Pllc | Clinical Neuropsychologist | 7146 S Braden Ave Ste 500, Tulsa, OK 74136-6376 | 2016-03-07 |
| 1134534787 | Able Kids Therapy | Clinical Neuropsychologist | 5970 E 31st St Ste F, Tulsa, OK 74135-5112 | 2014-06-23 |
| 1699192856 | Clinical & Neuropsychological Services | Clinical Neuropsychologist | 5512 S Lewis Ave, Suite 8, Tulsa, OK 74105-7140 | 2014-03-26 |
| Find all providers in TULSA | ||||
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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.