ABIGAIL GUEVARA HANSEN (PH.D.) – Clinical Psychologist, NPI 1649457987

ABIGAIL GUEVARA HANSEN (PH.D.) is a healthcare provider. based in Rockford, Michigan. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. 6301011335 (MI). The NPI Number for ABIGAIL GUEVARA HANSEN (PH.D.) is 1649457987

Main info

Female
Sole Proprietor
27 Years Of Experience
Accepts Medicare Assignment
Name
ABIGAIL GUEVARA HANSEN (PH.D.)
NPI
1649457987
Phone
(616) 866-4830
Address
16 N MONROE ST
Enumeration Date
29 January 2008
Last Update Date
29 January 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6168664830
Graduation Year
1999 (27 years ago)
PAC ID
3779540091
Professional Enrollment ID
I20041217000337
Address ID
MI493411228RO16XXXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

1,216 CLINICAL PSYCHOLOGIST in MI

Provider Addresses for ABIGAIL GUEVARA HANSEN (PH.D.)

  • 16 N MONROE ST

    ROCKFORD, MI 493411228

    Phone: (616) 866-4830

    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: 2004-12-17

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
I20041217000337IClinical PsychologistMITBD

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 49341)

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Reviews

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Frequently asked questions

Can I use this page to confirm ABIGAIL GUEVARA HANSEN (PH.D.)'s NPI?
Yes. ABIGAIL GUEVARA HANSEN (PH.D.) is listed with NPI 1649457987 in the public NPI dataset.
Can I rely on ABIGAIL GUEVARA HANSEN (PH.D.) being an active provider?
As of the registry snapshot, ABIGAIL GUEVARA HANSEN (PH.D.) is marked active.
What healthcare role does ABIGAIL GUEVARA HANSEN (PH.D.) hold?
Scheduling teams often label ABIGAIL GUEVARA HANSEN (PH.D.) under Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What area does ABIGAIL GUEVARA HANSEN (PH.D.) serve?
ABIGAIL GUEVARA HANSEN (PH.D.)'s listing highlights Rockford, Michigan; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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