Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Michael H. Hansen, PSYD

Individual provider Prescribing (Medical) Psychologist · NPI 1417994690

Dr. Michael H. Hansen, PSYD is a Clinical Psychologist in Chicago, Illinois. Qualified in 2002, 24 years ago. Practices with Marillac Community Health Centers, a 70-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Louisiana.

Years since qualifying
24
Licensed in
LA
In the registry since
2006
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

3860 W Ogden Ave
Chicago, IL 60623-2460
Phone: (773) 843-3000
Fax: (773) 843-2704
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prescribing (Medical) Psychologist (primary) Taxonomy 103TP0016X · Licence MP.0017 (LA)

Record details

NPI number1417994690
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorNo
NPI enumeratedMay 31, 2006
Last updated in NPPESMay 1, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Marillac Community Health Centers — 70 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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