Individual provider · Type 1 NPI

Brian James Hanson, PhD

Clinical Psychologist · Port Jefferson Station, NY

NPI number 1639942824 Active

Practice location

5225 Nesconset Hwy Ste 1
Port Jefferson Station, NY 11776-2054

Mailing address

14 Widgeon Rd
Center Moriches, NY 11934-3720

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X028289 (NY)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1639942824

Brian James Hanson, PhD's National Provider Identifier is 1639942824, issued on Oct 31, 2023. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Port Jefferson Station, NY. The record was last updated on Aug 12, 2026.