NPIMap

Organization Active NPI

Hammond Psychological Services LLC

  • Clinical Psychologist
  • Plainfield, IL
National Provider Identifier
1053920249
Registry record updated Jan 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
HAMMOND PSYCHOLOGICAL SERVICES LLC
Practice address
13246 S Route 59 # 102a
Plainfield, IL 60585-9800
Phone
(630) 296-7639
NPI assigned
Jul 23, 2020
Last updated
Jan 4, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Melinda D Hammond, PSYDNPI 1659645711
Title
Owner
Phone
(630) 296-7639

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

13246 S Route 59 # 102a
Plainfield, IL 60585-9800

Mailing address

13246 S Route 59 # 102a
Plainfield, IL 60585-9800
Phone (630) 296-7639

Other practice location 1

2405 Essington Rd Ste B167
Joliet, IL 60435-1200
Phone (630) 296-7639

National Provider Directory

National Provider Directory

Locations

2405 Essington Rd
Ste B167
Joliet, IL 60435
Phone (630) 296-7639

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1595462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609718400000",
    "number": "1053920249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13246 S ROUTE 59 # 102A",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605859800",
            "telephone_number": "630-296-7639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13246 S ROUTE 59 # 102A",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605859800",
            "telephone_number": "630-296-7639"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2405 Essington Rd Ste B167",
            "address_purpose": "LOCATION",
            "city": "Joliet",
            "state": "IL",
            "postal_code": "604351200",
            "country_code": "US",
            "telephone_number": "630-296-7639",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HAMMOND PSYCHOLOGICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-23",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A",
        "authorized_official_last_name": "HAMMOND",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-296-7639",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.