MARIAH ANNE HANSEN PSYD
NPI 1285769885
Psychologist in Santa Rosa, CA

Active since February 22, 2007PECOS Enrolled
3324 CHANATE RD, SANTA ROSA, CA 95404(707) 576-4107 Get Directions Write a Review

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mariah Anne Hansen Psyd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARIAH ANNE HANSEN PSYD (NPI 1285769885) is an individual psychologist in Santa Rosa, California, licensed in California (PSY22111) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285769885
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameMARIAH ANNE HANSENCredential: PSYD
Location Address3324 CHANATE RDSanta Rosa, CA 95404-1708
Mailing Address3324 Chanate RdSanta Rosa, CA 95404-1708 · (707) 576-4107
Sole ProprietorYes
Enumeration DateFebruary 22, 2007
Last NPPES UpdateFebruary 11, 2022
NPI 1285769885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in CA · PSY22111
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
3324 CHANATE RD, Santa Rosa, CA 95404

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mariah Anne Hansen Psyd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
3324 CHANATE RD
SANTA ROSA, CA 95404
Nurse Practitioner (Women's Health)
3324 CHANATE RD
SANTA ROSA, CA 95404
Internal Medicine (Endocrinology, Diabetes & Metabolism)
3324 CHANATE RD
SANTA ROSA, CA 95404
Family Medicine
3324 CHANATE RD
SANTA ROSA, CA 95404
Family Medicine
3324 CHANATE RD
SANTA ROSA, CA 95404
Student in an Organized Health Care Education/Training Program
3324 CHANATE RD
SANTA ROSA, CA 95404
Student in an Organized Health Care Education/Training Program
3324 CHANATE RD
SANTA ROSA, CA 95404
Pediatrics
3324 CHANATE RD
SANTA ROSA, CA 95404

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mariah Hansen's NPI number?

The NPI number for Mariah Hansen is 1285769885. It was assigned to this individual provider in the NPPES registry on February 22, 2007.

Where is Mariah Hansen located?

Mariah Hansen practices at 3324 Chanate Rd, Santa Rosa, CA 95404. The listed phone number is (707) 576-4107.

What is Mariah Hansen's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Mariah Hansen enrolled in Medicare?

Yes. Mariah Hansen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mariah Hansen was last updated on February 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.