Mikala Rae Hanson, PSY.D.; BCBA-D
NPI 1063078384ActiveIndividual· Psychologist· Southlake, TX
Psychologist (PSY.D.; BCBA-D) in Southlake, Texas, licensed in MD and TX, with an NPI issued in May 2019. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1063078384 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSY.D.; BCBA-D |
| Sole proprietor | No |
| NPI issued | May 13, 2019 |
| Last updated in NPPES | Mar 23, 2023 |
| Certified by provider | Mar 23, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | — | — |
| Behavior Analyst | 103K00000X | 1-17-25337 | — |
| Psychologist, Clinical | 103TC0700X | 06416 | MD |
| Psychologist, Clinical | 103TC0700X | 38644 | TX |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (TX) |
|---|
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