Individual provider Active NPI

Dean E Hammer, PSY.D.

  • Clinical Psychologist
  • South Londonderry, VT
National Provider Identifier
1104981364
Registry record updated May 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
048-0000896 Issued in VT
Practice address
17 Hearthstone Lane
South Londonderry, VT 05155-9615
Phone
(802) 228-4564
NPI assigned
Dec 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Psychologist 103TA0400X 048-0000896 VT
Psychologist 103T00000X 048-0000896 VT
Cognitive & Behavioral Psychologist 103TB0200X 048-0000896 VT
Counseling Psychologist 103TC1900X 048-0000896 VT
Clinical Psychologist 103TC0700X 048-0000896 VT Primary

Addresses

Primary practice location

17 Hearthstone Lane
South Londonderry, VT 05155-9615

Mailing address

49 Jewell Brook Farm Rd
Ludlow, VT 05149-9502
Phone (802) 228-4564

Other practice location 1

49 Jewell Brook Farm Rd
Ludlow, VT 05149-9502
Phone (802) 353-9024

Other identifiers 3

IdentifierTypeStateIssuer
69789OtherVTBLUE CROSS
2340554OtherVTCIGNA
1013953MedicaidVT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
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
I20070314000083 VT Practitioner - Clinical Psychologist 1759484629 Practice locations: Londonderry, VT; Manchester Center, VT; South Londonderry, VT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

17 Hearthstone Lane
South Londonderry, VT 05155-9615
Phone (802) 353-9024

3988 Route 100
South Londonderry, VT 05155-9615
Phone (802) 353-9024

5700 Mountain Marketplace
Londonderry, VT 05148
Phone (802) 353-9024

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
048-0000896VTMDCognitive & Behavioral Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Katherine Schlageter PSYD PLC PastSince Jan 5, 2025 Accepting new patients

Organizations & group practices 1

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": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1104981364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 JEWELL BROOK FARM RD",
            "city": "LUDLOW",
            "state": "VT",
            "postal_code": "051499502",
            "telephone_number": "802-228-4564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 HEARTHSTONE LANE",
            "city": "SOUTH LONDONDERRY",
            "state": "VT",
            "postal_code": "051559615",
            "telephone_number": "802-228-4564"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "49 Jewell Brook Farm Rd",
            "address_purpose": "LOCATION",
            "city": "Ludlow",
            "state": "VT",
            "postal_code": "051499502",
            "country_code": "US",
            "telephone_number": "802-353-9024",
            "fax_number": "802-442-3363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMMER",
        "first_name": "DEAN",
        "middle_name": "E",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "VT",
            "license": "048-0000896",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "VT",
            "license": "048-0000896",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "VT",
            "license": "048-0000896",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "VT",
            "license": "048-0000896",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VT",
            "license": "048-0000896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "69789",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2340554",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013953",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Londonderry, VT

Sources for this page

Verify at the official NPI Registry.