DR. MICHAEL H. HANSEN PSYD
NPI 1417994690
Psychologist - Prescribing (Medical) in Chicago, IL

Active since May 31, 2006PECOS EnrolledAccepts Medicare Assignment
3860 W OGDEN AVE, CHICAGO, IL 60623(773) 843-3000(773) 843-2704 Get Directions Write a Review

NPPES record last updated: May 1, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Michael H. Hansen Psyd NPPES

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

DR. MICHAEL H. HANSEN PSYD (NPI 1417994690) is an individual prescribing (medical) provider in Chicago, Illinois, licensed in Louisiana (MP.0017) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1417994690
Entity TypeIndividualMale
Primary Taxonomy103TP0016X
Provider Legal NameDR. MICHAEL H. HANSENCredential: PSYD
Location Address3860 W OGDEN AVEChicago, IL 60623-2460
Mailing Address5001 Highway190, Suite B1Covington, LA 70433 · (985) 590-5744
Fax(773) 843-2704
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateMay 31, 2006
Last NPPES UpdateMay 1, 2012
✔ NPI 1417994690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Prescribing (Medical)Behavioral Health & Social Service Providers
Taxonomy Code103TP0016X
License✔ Licensed in LA · MP.0017
Definition
A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.
3860 W OGDEN AVE, Chicago, IL 60623

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Michael H. Hansen Psyd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4486672151
PECOS Enrollment IDI20120801000686
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Michael Hansen reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Primary Care
451 E MADISON AVE
Bastrop, LA 71220
  • Reassigned Medicare billing, Louisiana enrollment
  • 29 clinicians in this Medicare group
Clinic/Center
5630 READ BLVD, SUITE B
New Orleans, LA 70127
  • Reassigned Medicare billing, Louisiana enrollment
  • 127 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
12 WESTBANK EXPY
Gretna, LA 70053
  • Reassigned Medicare billing, Louisiana enrollment
  • 13 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

Internal Medicine
3860 W OGDEN AVE
CHICAGO, IL 60623
Counselor (Professional)
3860 W OGDEN AVE
CHICAGO, IL 60623
Family Medicine
3860 W OGDEN AVE
CHICAGO, IL 60623
Pediatrics
3860 W OGDEN AVE
CHICAGO, IL 60623
Dentist
3860 W OGDEN AVE
CHICAGO, IL 60623
Physician Assistant
3860 W OGDEN AVE
CHICAGO, IL 60623
Physician Assistant
3860 W OGDEN AVE
CHICAGO, IL 60623
Nurse Practitioner
3860 W OGDEN AVE
CHICAGO, IL 60623

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 Michael Hansen's NPI number?

The NPI number for Michael Hansen is 1417994690. It was assigned to this individual provider in the NPPES registry on May 31, 2006.

Where is Michael Hansen located?

Michael Hansen practices at 3860 W Ogden Ave, Chicago, IL 60623. The listed phone number is (773) 843-3000.

What is Michael Hansen's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Prescribing (Medical), with taxonomy code 103TP0016X.

Is Michael Hansen enrolled in Medicare?

Yes. Michael Hansen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Michael Hansen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Hansen reassigns Medicare benefits to 3 organizations: Northeast Delta Human Services Authority (Bastrop, LA), Marillac Community Health Centers (New Orleans, LA) and Priority Health Care (Gretna, LA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Hansen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Hansen accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and AmeriHealth Caritas Next and 2 other insurers list Michael Hansen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michael Hansen was last updated on May 1, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.