DR. DAVID ROBERT HANSON (PSY.D.) – Clinical Psychologist, NPI 1225103401

DR. DAVID ROBERT HANSON (PSY.D.) is a healthcare provider. based in Lake bluff, Illinois. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSY.D.. They hold a License No. 071006160 (IL). The NPI Number for DR. DAVID ROBERT HANSON (PSY.D.) is 1225103401

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. DAVID ROBERT HANSON (PSY.D.)
NPI
1225103401
Phone
(847) 295-6141
Address
900 NORTH SHORE DR.
Enumeration Date
22 November 2006
Last Update Date
15 February 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8472956141
Graduation Year
1999 (27 years ago)
PAC ID
1759372857
Professional Enrollment ID
I20150616002787
Address ID
IL600442225LA900XXDRXX403
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,600 CLINICAL PSYCHOLOGIST in IL

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Provider Addresses for DR. DAVID ROBERT HANSON (PSY.D.)

  • 900, North Shore Drive, Lake Bluff, Lake County, Illinois, 60044, United States

    SUITE 200

    LAKE BLUFF, IL 600442225

    Phone: (847) 295-6141

    Fax: (888) 765-7036

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-06-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150616002787IClinical PsychologistILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60044)

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Reviews

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Frequently asked questions

Does DR. DAVID ROBERT HANSON (PSY.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. DAVID ROBERT HANSON (PSY.D.) uses 1225103401.
Can I rely on DR. DAVID ROBERT HANSON (PSY.D.) being an active provider?
As of the registry snapshot, DR. DAVID ROBERT HANSON (PSY.D.) is marked active.
What healthcare role does DR. DAVID ROBERT HANSON (PSY.D.) hold?
Scheduling teams often label DR. DAVID ROBERT HANSON (PSY.D.) under Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What address line appears for DR. DAVID ROBERT HANSON (PSY.D.)?
DR. DAVID ROBERT HANSON (PSY.D.)'s geographic hint is Lake Bluff, Illinois in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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