Active NPI
Dean E Hammer, PSY.D.
- Clinical Psychologist
- South Londonderry, VT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 048-0000896
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 69789 | Other | VT | BLUE CROSS |
| 2340554 | Other | VT | CIGNA |
| 1013953 | Medicaid | VT |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 048-0000896 | VT | MD | Cognitive & Behavioral Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Katherine Schlageter PSYD PLC | Past | 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.
-
- Adult Mental Health Clinic/Center
- Manchester Center, VT
- NPI 1972312122
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.