Active NPI
Mark D Hammerly, PH.D.
- Clinical Psychologist
- Liberty Township, OH
National Provider Identifier
1144604174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6049
- Practice address
- 7999 Trinity Shore Cir
Liberty Township, OH 45044-8319 - Phone
- (513) 779-2906
- Fax
- (513) 779-2906
- NPI assigned
- Jul 20, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6049 | OH | |
| Clinical Psychologist | 103TC0700X | 6049 | OH | Primary |
Addresses
Primary practice location
7999 Trinity Shore Cir
Liberty Township, OH 45044-8319
Mailing address
7999 Trinity Shore Cir
Liberty Township, OH 45044-8319
Phone (513) 779-2906
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6049 | OH | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Preslar Psychological Services, LLC | Psychologist | 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.
-
- Psychologist
- Opelika, AL
- NPI 1043388028
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466467200000",
"number": "1144604174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7999 TRINITY SHORE CIR",
"city": "LIBERTY TOWNSHIP",
"state": "OH",
"postal_code": "450448319",
"telephone_number": "513-779-2906",
"fax_number": "513-779-2906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7999 TRINITY SHORE CIR",
"city": "LIBERTY TOWNSHIP",
"state": "OH",
"postal_code": "450448319",
"telephone_number": "513-779-2906",
"fax_number": "513-779-2906"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMMERLY",
"first_name": "MARK",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-07-20",
"last_updated": "2016-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OH",
"license": "6049",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OH",
"license": "6049",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Liberty Township, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.