DR. SANDRA SUE SMITH HANEN EDD
NPI 1750480679
Psychologist in Minneapolis, MN

Active since September 21, 2006PECOS EnrolledAccepts Medicare Assignment
87.82/100
CMS Quality Rating
4323 E LAKE ST, MINNEAPOLIS, MN 55406(612) 722-1003(612) 721-6336 Get Directions Write a Review

NPPES record last updated: March 12, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Sandra Sue Smith Hanen Edd NPPES

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

DR. SANDRA SUE SMITH HANEN EDD (NPI 1750480679) is an individual psychologist in Minneapolis, Minnesota, licensed in Minnesota (LP2754) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1976).

NPPES Registry Identity

NPI1750480679
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. SANDRA SUE SMITH HANENCredential: EDD
Location Address4323 E LAKE STMinneapolis, MN 55406-2307
Mailing Address4323 E Lake StMinneapolis, MN 55406-2307 · (612) 722-1003 · Fax (612) 721-6336
Fax(612) 721-6336
Sole ProprietorNo
Medical School CMSOtherGraduated 1976
Enumeration DateSeptember 21, 2006
Last NPPES UpdateMarch 12, 2014
NPI 1750480679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MN · LP2754
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.
Also ListedPsychologist · Adult Development & AgingTaxonomy 103TA0700X · License LP2754 (MN)
Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X · License LP2754 (MN)
Also ListedPsychologist · CounselingTaxonomy 103TC1900X · License LP2754 (MN)
Also ListedPsychologist · FamilyTaxonomy 103TF0000X · License LP2754 (MN)
Also ListedPsychologist · ForensicTaxonomy 103TF0200X · License LP2754 (MN)
4323 E LAKE ST, Minneapolis, MN 55406

Other Identifiers 6

Other100479MN · Ucare
Medicare UPINR48949
Medicaid432747100MN
Other064925MMN · Bcbs
Medicare ID-Type Unspecified680000578
Other6180090MN · Medica

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Sandra Sue Smith Hanen Edd 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 ID8820037229
PECOS Enrollment IDI20050426000501
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
158 services15 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.82/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.8
Improvement Activities40

Other Providers at the Same Location NPPES 3

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

Optometrist
4323 E LAKE ST
MINNEAPOLIS, MN 55406
Optometrist
4323 E LAKE ST
MINNEAPOLIS, MN 55406
Optometrist
4323 E LAKE ST
MINNEAPOLIS, MN 55406

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 Sandra Smith Hanen's NPI number?

The NPI number for Sandra Smith Hanen is 1750480679. It was assigned to this individual provider in the NPPES registry on September 21, 2006.

Where is Sandra Smith Hanen located?

Sandra Smith Hanen practices at 4323 E Lake St, Minneapolis, MN 55406. The listed phone number is (612) 722-1003.

What is Sandra Smith Hanen's specialty?

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

Is Sandra Smith Hanen enrolled in Medicare?

Yes. Sandra Smith Hanen 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.

When was this NPI record last updated?

The NPPES record for Sandra Smith Hanen was last updated on March 12, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.