DR. MARK SULLIVAN HANSON (NPI# 1003984386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003984386 |
| Entity Type | Individual |
| Full Name | DR. MARK SULLIVAN HANSON |
| Credential | PHD |
| Practice Address |
130 Centre St Wadsworth Village, Hathorne House #4 Danvers MA 01923-1400 |
| Mailing Address |
130 Centre St School House 101a Danvers MA 01923-1400 |
| Practice Telephone | 9787771088 |
| Practice Fax Number | 9787773883 |
| Mailing Telephone | 9787771088 |
| Mailing Fax Number | 9787773883 |
| Enumeration Date | 2006-12-02 |
| Last Update Date | 2019-05-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
6390 | MA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | BLUE CROSS BLUE SHIELD | W06514 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265594568 | Mark Bradley Hanson | Chiropractor | 215 Ohio Avenue, Iowa Falls, IA 50126 | 2006-12-14 |
| 1760551857 | Mark H Hanson | Dentist | 2000 Shady Lane, Green Bay, WI 54313-9311 | 2006-11-06 |
| 1255316956 | Mark Allen Hanson | Optometrist | 127 Main St, Black River Falls, WI 54615-1769 | 2005-12-14 |
| 1730189903 | Mark Leonard Hanson | Chiropractor | 11441 N Stemmons Fwy Ste 241, Dallas, TX 75229-2251 | 2005-07-28 |
| 1962402412 | Mark Robert Hanson | Optometrist | 2351 W Lamar Blvd, Arlington, TX 76012-5669 | 2005-07-27 |
| 1780030387 | Mark Hanson | Counselor | 1455 Saint Francis Ave, Shakopee, MN 55379-3374 | 2016-05-12 |
| 1255504379 | Mark Hanson | Psychologist | 510 4th St S, Fargo, ND 58103-1914 | 2008-04-09 |
| 1396841987 | Mark Hanson | Family Medicine | 414 E Woodin Ave, Chelan, WA 98816-9648 | 2006-09-15 |
| 1548276256 | Mark J Hanson | Orthopaedic Surgery | 1111 Trinity Lane, Suite 111, Bloomington, IL 61704-3738 | 2006-08-01 |
| 1033124474 | Mark Allan Hanson | Dentist | 350 Mary St, Suite E, Punta Gorda, FL 33950-4564 | 2006-07-31 |
| Street Address |
130 CENTRE ST WADSWORTH VILLAGE, HATHORNE HOUSE #4 |
| City | DANVERS |
| State | MA |
| Zip Code | 01923-1400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851851323 | Transformative Intimacy LLC | Marriage & Family Therapist | 130 Centre St, Schoolhouse #208, Danvers, MA 01923 | 2019-03-21 |
| 1134535610 | Marigold Therapy & Wellness | Counselor | 130 Centre St, Howe Barn #105, Danvers, MA 01923-1400 | 2014-07-07 |
| 1710266846 | Elizabeth Planje | Counselor | 130 Centre St, Howe Barn, #105, Danvers, MA 01923-1400 | 2011-08-07 |
| 1861792277 | Danielle Brie Honan | Massage Therapist | 130 Centre St, Danvers, MA 01923-1400 | 2010-11-01 |
| 1356669600 | Tamie Ann Maffeo | Massage Therapist | 130 Centre St, Danvers, MA 01923-1400 | 2010-05-11 |
| 1174735740 | Neuroadvance, Inc | Community/Behavioral Health | 130 Centre St, Danvers, MA 01923-1400 | 2007-05-04 |
| 1033266531 | Howard Frank Weiner | Psychologist | 130 Centre St, Danvers, MA 01923-1400 | 2007-01-05 |
| 1477621753 | Jean Sullivan Hanson | Psychologist | 130 Centre St, Wadsworth Village, Hathorne House, #2, Danvers, MA 01923-1400 | 2006-12-02 |
| 1447274758 | Jonathan Peter Kessler | Social Worker | 130 Centre St, C/o Fuller House, Danvers, MA 01923-1400 | 2006-07-27 |
| 1063436137 | Linda Ellen Burke | Counselor | 130 Centre St, Schoolhouse #202b, Danvers, MA 01923-1400 | 2006-07-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558902320 | Amanda Ashley Harting | Social Worker | 111 Middleton Road, Danvers, MA 01923 | 2019-10-03 |
| 1407400641 | Tom Biggart | Clinic/Center | 110 Newbury St, Danvers, MA 01923 | 2019-07-25 |
| 1669958252 | Marie Marguerite Peloquin | Internal Medicine | 480 Maple St. Suite 201, Lahey Outpatient Center, Danvers, Danvers, MA 01923 | 2018-07-17 |
| 1033604079 | Vanessa Lynne Rachels | Social Worker | 110 Middleton Rd, Danvers, MA 01923 | 2018-06-22 |
| 1376036517 | Meredith A Biggart | Dietitian, Registered | 110 Newbury St Ste E, Danvers, MA 01923 | 2018-06-12 |
| 1528569431 | Alaina Alderman | Behavioral Analyst | 1 Southside Rd, Danvers, MA 01923 | 2018-02-26 |
| 1023536661 | Rachel Anne Ziner | Specialist/Technologist | 49 Reservoir Dr, Danvers, MA 01923 | 2017-09-05 |
| 1770004780 | Sierra Mclear | Developmental Therapist | 6 Southside R.d, Danvers, MA 01923 | 2017-06-29 |
| 1316479660 | Beth Israel Lahey Health Primary Care, Inc. | Clinic/Center | 480 Maple St., Lahey Health Urgent Care, Danvers, Danvers, MA 01923 | 2017-03-28 |
| 1548791890 | Joseph Chenvert | Massage Therapist | 227 Newbury Street, Danvers, MA 01923 | 2017-03-27 |
| Find all providers in zip 01923 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215338140 | David Helfand | Psychologist | 11 Sylvan St, Danvers, MA 01923-2748 | 2014-09-10 |
| 1255421103 | Americo E Mello | Psychologist | 133 Sylvan Street, Danvers, MA 01923 | 2006-10-13 |
| 1780607077 | Margaret Hoddinott | Psychologist | 480 Maple St Ste 103, Danvers, MA 01923-4065 | 2006-07-26 |
| 1700314879 | Lifewise, LLC | Psychologist | 11 Sylvan St, Danvers, MA 01923-2748 | 2017-06-01 |
| 1013212935 | Rosmark Psychological Services LLC | Psychologist | 85 Constitution Ln, Suite 2g, Danvers, MA 01923-3694 | 2011-01-25 |
| 1124206933 | Eileen T. Suhrhoff | Psychologist | 7 Federal St, Suite 35, Danvers, MA 01923-3620 | 2008-02-04 |
| 1477621753 | Jean Sullivan Hanson | Psychologist | 130 Centre St, Wadsworth Village, Hathorne House, #2, Danvers, MA 01923-1400 | 2006-12-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962000703 | Jonathan Inz Phd LLC | Psychologist | 100 Cummings Ctr Ste 453, Beverly, MA 01915-6115 | 2020-10-14 |
| 1114524337 | T Psychological Services Professional LLC | Psychologist | 305 Avalon Dr, Bedford, MA 01730-2067 | 2020-10-01 |
| 1235746934 | Alexandra R Nelson Phd | Psychologist | 46 Gerald Rd, Milton, MA 02186-4769 | 2020-09-26 |
| 1396359154 | Theresa Mary Brasier | Psychologist | 25 Birch St Ste A, Milford, MA 01757-3585 | 2020-08-31 |
| 1154934685 | David S Sugarbaker | Psychologist | 1015 Brook Rd, Milton, MA 02186-4114 | 2020-08-25 |
| 1114537131 | Annemarie Baldauf, Psyd, Pllc | Psychologist | 49 Hancock St Ste 104, Cambridge, MA 02139-3188 | 2020-08-04 |
| 1801406103 | Barbara Kellogg Gannon | Psychologist | 30 Western Ave Ste 209, Gloucester, MA 01930-3664 | 2020-08-03 |
| 1992314330 | Deborah Cohen | Psychologist | 25 State St Fl 26, Boston, MA 02109-2700 | 2020-07-30 |
| 1710596697 | Boston Center for Health Psychology and Biofeedback, LLC | Psychologist | 10 Post Office Sq., Ste 800 South, Boston, MA 02109 | 2020-07-27 |
| 1487271664 | Thoughtful Psychiatry, P.C. | Psychologist | 20 W Emerson St Lowr Level, Melrose, MA 02176-3137 | 2020-07-03 |
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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.