DR. TANISHA HANKERSON (PSY.D.) – Clinical Psychologist, NPI 1174072698

DR. TANISHA HANKERSON (PSY.D.) is a healthcare provider. based in Houston, Texas. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSY.D.. They hold a License No. 071009329 (IL). The NPI Number for DR. TANISHA HANKERSON (PSY.D.) is 1174072698

Main info

Female
Sole Proprietor
18 Years Of Experience
Accepts Medicare Assignment
Name
DR. TANISHA HANKERSON (PSY.D.)
NPI
1174072698
Phone
(832) 665-2295
Address
2400 AUGUSTA DR
Enumeration Date
26 September 2016
Last Update Date
17 May 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8772198726
Graduation Year
2008 (18 years ago)
PAC ID
4486941671
Group Practice PAC ID
5597193607
Professional Enrollment ID
I20161003002367
Address ID
IL606543707CH637XXSTXX400

Contacts

Secure Messaging
tanisha.hankerson@direct.ccprovider.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness85
Years active:9State licenses:1Other namesUpdated within 12 months

1,347 CLINICAL PSYCHOLOGIST in TX

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Provider Addresses for DR. TANISHA HANKERSON (PSY.D.)

  • 2400, Augusta Drive, Houston, Harris County, Texas, 77057, United States

    HOUSTON, TX 770574922

    Phone: (832) 665-2295

    Type: Location

  • 300, Ovaltine Court, Villa Park, DuPage County, Illinois, 60181, United States

    UNIT 322

    VILLA PARK, IL 601812710

    Phone: (773) 425-4857

    Type: Mailing

  • 105 CANTERBURY LN UNIT 2094

    BOLINGBROOK, IL 604400480

    Phone: (630) 429-6407

    Type: Mailing

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: 2016-10-03

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
I20161003002367IClinical 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

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

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 77057)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5597193607View full group profile
NameSpecialtyState
Clinical PsychologistIL
Clinical PsychologistNY
Clinical PsychologistIN
Clinical PsychologistCO
Clinical PsychologistOH

Reviews

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Frequently asked questions

Can I cross-check DR. TANISHA HANKERSON (PSY.D.) using NPI 1174072698?
NPI 1174072698 belongs to DR. TANISHA HANKERSON (PSY.D.); compare other details if you need extra assurance.
Is DR. TANISHA HANKERSON (PSY.D.) still an active registrant?
DR. TANISHA HANKERSON (PSY.D.) carries an active NPI according to the public dataset.
What clinical focus is listed for DR. TANISHA HANKERSON (PSY.D.)?
At a glance, DR. TANISHA HANKERSON (PSY.D.) is tied to Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. TANISHA HANKERSON (PSY.D.)?
Travel planning: use Houston, Texas as the reference point for DR. TANISHA HANKERSON (PSY.D.), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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