Organization Active NPI

Jordan a. Hamilton,PHD, Inc

Doing business as California Relationship Center

  • Psychologist
  • Auburn, CA
National Provider Identifier
1073875076
Registry record updated Jun 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY14481 Issued in CA
Legal business name
JORDAN A. HAMILTON,PHD, INC
Doing business as
California Relationship Center
Practice address
128 East St
Auburn, CA 95603-5119
Phone
(530) 889-0178
Fax
(530) 889-8279
NPI assigned
Jun 14, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2012

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

Authorized official

Name
Dr. Jordan A Hamilton, PHDNPI 1912319294
Title
Psychologist / Ceo
Phone
(530) 889-0178

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X PSY14481 CA Primary

Addresses

Primary practice location

128 East St
Auburn, CA 95603-5119

Mailing address

128 East St
Auburn, CA 95603-5119
Phone (530) 889-0178

Other names 1

  • California Relationship Center Doing business as

National Provider Directory

National Provider Directory

Locations

128 East St
Auburn, CA 95603
Phone (530) 492-4995

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1339632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339632000000",
    "number": "1073875076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 EAST ST",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956035119",
            "telephone_number": "530-889-0178",
            "fax_number": "530-889-8279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 EAST ST",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956035119",
            "telephone_number": "530-889-0178",
            "fax_number": "530-889-8279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORDAN A. HAMILTON,PHD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-14",
        "last_updated": "2012-06-14",
        "status": "A",
        "authorized_official_last_name": "HAMILTON",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PSYCHOLOGIST / CEO",
        "authorized_official_telephone_number": "530-889-0178",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY14481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "California Relationship Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Auburn, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2012; 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.