1. Home
  2. Directory
  3. Minnesota
  4. St Louis Park
  5. Psychiatry Neurology
  6. NPI Profile

DR. CARL RICHARD HANSEN II M.D.
NPI 1508114810
Psychiatry & Neurology - Child & Adolescent Psychiatry in St Louis Park, MN

Active since August 16, 2012Opted out of Medicare · through Nov 7, 2027
4601 EXCELSIOR BLVD, SUITE 300, ST LOUIS PARK, MN 55416(952) 920-6100 Get Directions Write a Review

NPPES record last updated: August 16, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Carl Richard Hansen Ii M.d. NPPES

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

DR. CARL RICHARD HANSEN II M.D. (NPI 1508114810) is an individual child & adolescent psychiatry provider in St Louis Park, Minnesota, licensed in Minnesota (26124) and active in the NPI registry since August 2012. He has opted out of Medicare through November 7, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1508114810
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameDR. CARL RICHARD HANSEN IICredential: M.D.
Location Address4601 EXCELSIOR BLVD, SUITE 300St Louis Park, MN 55416-4960
Mailing Address4601 Excelsior Blvd, Suite 300St Louis Park, MN 55416-4960 · (952) 920-6100
Phone(952) 920-6100
Sole ProprietorNo
Enumeration DateAugust 16, 2012
✔ NPI 1508114810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in MN · 26124
Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

Also ListedPsychiatry & Neurology · Behavioral Neurology & NeuropsychiatryTaxonomy 2084B0040X · License 26124 (MN)
Also ListedPsychiatry & Neurology · Neurodevelopmental DisabilitiesTaxonomy 2084P0005X · License 26124 (MN)
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 26124 (MN)
4601 EXCELSIOR BLVD, St Louis Park, MN 55416
Open in Google Maps ↗

Other Identifiers 1

Medicare UPIND73263MN

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Carl Richard Hansen Ii M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 7, 2017 through November 7, 2027.

Opt-Out Effective DateNovember 7, 2017
Opt-Out In Effect ThroughNovember 7, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 13

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

MARK SCHULER PH.D.
Psychologist (Clinical)
4601 EXCELSIOR BLVD, SUITE 301B
ST LOUIS PARK, MN 55416
Hennepin County (612) 435-0413
LINDA CLAIRE RICHARDSON-BEAIRD MA RN CNS
Clinical Nurse Specialist (Psychiatric/Mental Health, Adult)
4601 EXCELSIOR BLVD, SUITE 501B
ST. LOUIS PARK, MN 55416
Hennepin County (612) 581-6918
MS. M. KATHARINE MARSH M.A. L.A.D.C.
Counselor (Addiction (Substance Use Disorder))
4601 EXCELSIOR BLVD, SUITE 507A
ST LOUIS PARK, MN 55416
Hennepin County (952) 220-9712
MICHELLE DANA WALL
Massage Therapist
4601 EXCELSIOR BLVD, 407
SAINT LOUIS PARK, MN 55416
Hennepin County (612) 296-5174
HANSEN NEUROPSYCHIATRIC CLINIC PA
Clinic/Center
4601 EXCELSIOR BLVD, SUITE 300
ST LOUIS PARK, MN 55416
Hennepin County (952) 920-6100
MS. MARGARET R0SE HASTINGS LPC
Counselor (Professional)
4601 EXCELSIOR BLVD, 570
MINNEAPOLIS, MN 55416
Hennepin County (952) 457-2288
TRANSITION HEALTHCARE,LLC
Assisted Living Facility
4601 EXCELSIOR BLVD, SUITE 503
MINNEAPOLIS, MN 55416
Hennepin County (952) 697-4660
THE ORMSBY GROUP LTD.
Home Health
4601 EXCELSIOR BLVD, STE. 403
ST LOUIS PARK, MN 55416
Hennepin County (952) 236-3965

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 Carl Hansen's NPI number?

The NPI number for Carl Hansen is 1508114810. It was assigned to this individual provider in the NPPES registry on August 16, 2012.

Where is Carl Hansen located?

Carl Hansen practices at 4601 Excelsior Blvd Suite 300, St Louis Park, MN 55416. The listed phone number is (952) 920-6100.

What is Carl Hansen's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Carl Hansen enrolled in Medicare?

No. Carl Hansen has opted out of Medicare through November 7, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Carl Hansen was last updated on August 16, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.