Individual provider Active NPI

Paul Robert Hamilton, PH.D.

  • Counseling Psychologist
  • Menomonee Falls, WI
National Provider Identifier
1073695474
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
2471-057 Issued in WI
Practice address
W156N8327 Pilgrim Rd
Suite 302
Menomonee Falls, WI 53051-3776
Phone
(262) 251-1112
Fax
(262) 251-1113
NPI assigned
Oct 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 2471-057 WI Primary

Addresses

Primary practice location

W156N8327 Pilgrim Rd
Suite 302
Menomonee Falls, WI 53051-3776

Mailing address

W156N8327 Pilgrim Rd
Suite 302
Menomonee Falls, WI 53051-3776
Phone (262) 251-1112

Other identifiers 1

IdentifierTypeStateIssuer
43583000MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040816001026 WI Practitioner - Clinical Psychologist 3173596327 Practice locations: Menomonee Falls, WI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

W156N8327 Pilgrim Rd
Suite 302
Menomonee Falls, WI 53051-3776
Phone 26225111121

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2471-057WIMDCounseling Psychologist
2471WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Psychology Associates Past Accepting new patients
Wisconsin Community Mental Health Counseling Centers, Inc Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073695474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W156N8327 PILGRIM RD",
            "address_2": "SUITE 302",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530513776",
            "telephone_number": "262-251-1112",
            "fax_number": "262-251-1113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W156N8327 PILGRIM RD",
            "address_2": "SUITE 302",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530513776",
            "telephone_number": "262-251-1112",
            "fax_number": "262-251-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "PAUL",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "WI",
            "license": "2471-057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43583000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Menomonee Falls, WI

Sources for this page

Verify at the official NPI Registry.