Mark Elwood Hamdi, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

012146 Issued in NY

Practice address

5 Warren St
Suite 212
Glens Falls, NY 12801-4558

Phone

(518) 761-9977

Fax

(518) 761-2044

NPI assigned

May 23, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

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    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1154376630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2769 COUNTY ROUTE 12",
            "city": "WHITEHALL",
            "state": "NY",
            "postal_code": "128872419",
            "telephone_number": "518-499-2696",
            "fax_number": "518-761-2044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 WARREN ST",
            "address_2": "SUITE 212",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128014558",
            "telephone_number": "518-761-9977",
            "fax_number": "518-761-2044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMDI",
        "first_name": "MARK",
        "middle_name": "ELWOOD",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "012146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNENY PROVIDER NUMBER",
            "identifier": "000402790001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS PROVIDER NU",
            "identifier": "078164",
            "state": null
        },
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            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN PROVIDER NUMBER",
            "identifier": "195527000",
            "state": null
        },
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            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APS PROVIDER NUMBER",
            "identifier": "PVPB213258",
            "state": null
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        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP PROVIDER NUMBER",
            "identifier": "346582",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI PROVIDER NUMBER",
            "identifier": "6683031",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP PROVIDER NUMBER",
            "identifier": "10066994",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert W Hahm, M.D.
• Laurie A. Hall, LMSW
• Brianna Therese Halleran, LCSW
• Ranya Ali Hamdan, PA-C
• Judith Vermet Hamdi, LCSW, CASAC
• Paula J. Hanchett, RN
• Hand to Hand Occupational Therapy PLLC
• Hand to Hand Occupational Therapy PLLC
• Utsav Hanspal, MD
• Michele Harding, ANP

• Clinical Psychologist in Glens Falls, NY
• Providers in Glens Falls, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.