Provider Demographics
NPI:1841284502
Name:PHILIPPEN, HANS C (PHD)
Entity type:Individual
Prefix:DR
First Name:HANS
Middle Name:C
Last Name:PHILIPPEN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2215 FOREST HILLS DR STE 36
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17112-1099
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1000 BENT CREEK BLVD STE 10
Practice Address - Street 2:
Practice Address - City:MECHANICSBURG
Practice Address - State:PA
Practice Address - Zip Code:17050-1869
Practice Address - Country:US
Practice Address - Phone:717-988-9460
Practice Address - Fax:717-221-5422
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-08
Last Update Date:2021-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS008705L103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
215864642OtherTRICARE
185207000OtherMAGELLAN
86706215OtherUNITED BEHAVIORAL HEALTH
PA00171352000003Medicaid
PA815080OtherFIRST PRIORITY
86706215OtherUNITED BEHAVIORAL HEALTH