DR. ELIZABETH LYNN HANSEN (PSYD) – Clinical Psychologist, NPI 1154550754

DR. ELIZABETH LYNN HANSEN (PSYD) is a healthcare provider. based in West allis, Wisconsin. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSYD. They hold a License No. 3087-57 (WI). The NPI Number for DR. ELIZABETH LYNN HANSEN (PSYD) is 1154550754

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. ELIZABETH LYNN HANSEN (PSYD)
NPI
1154550754
Phone
(414) 329-5365
Address
2424 S 90TH ST
Enumeration Date
6 July 2009
Last Update Date
25 April 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4145028102
Graduation Year
2011 (15 years ago)
PAC ID
6901048008
Group Practice PAC ID
8628505013
Professional Enrollment ID
I20131226000210
Address ID
WI530452739BR19435DRXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

667 CLINICAL PSYCHOLOGIST in WI

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Provider Addresses for DR. ELIZABETH LYNN HANSEN (PSYD)

  • 2424, South 90th Street, Eckel Woods, West Allis, Milwaukee County, Wisconsin, 53227, United States

    SUITE 502

    WEST ALLIS, WI 532272455

    Phone: (414) 329-5365

    Fax: (414) 329-5637

    Type: Mailing

  • West Glen Oaks Lane, Mequon, Ozaukee County, Wisconsin, 53092, United States

    MEQUON, WI 530923392

    Phone: (262) 240-0299

    Fax: (414) 329-5637

    Type: Location

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: 2013-12-26

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
I20131226000210IClinical PsychologistWITBD

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 53227)

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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: 8628505013View full group profile
NameSpecialtyState
Clinical PsychologistWI

Reviews

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Frequently asked questions

What is the registry number for DR. ELIZABETH LYNN HANSEN (PSYD)?
The registry entry for DR. ELIZABETH LYNN HANSEN (PSYD) shows NPI 1154550754.
Does the public listing show DR. ELIZABETH LYNN HANSEN (PSYD) as active?
DR. ELIZABETH LYNN HANSEN (PSYD)'s NPI record reflects an active status in NPPES.
Which specialty label fits DR. ELIZABETH LYNN HANSEN (PSYD)?
NPPES ties DR. ELIZABETH LYNN HANSEN (PSYD) to Clinical Psychologist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is DR. ELIZABETH LYNN HANSEN (PSYD) tied to West Allis, Wisconsin?
If you are local to West Allis, Wisconsin, DR. ELIZABETH LYNN HANSEN (PSYD) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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