Stacia Hanson Ma LP LLC
NPI 1871867549ActiveOrganization· Psychologist· Edina, MN
Psychologist in Edina, Minnesota, registered in NPPES in February 2012. The authorized official on file is Stacia Hanson, MA LP, Ceo, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1871867549 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 28, 2012 |
| Last updated in NPPES | Sep 29, 2022 |
| Certified by provider | Sep 29, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | — | — |
| Psychologist, Clinical | 103TC0700X | — | — |
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 Part B Supplier - Clinic/Group Practice (MN) |
|---|
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