Sam R Hamburg, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Practice address

79 W Monroe St
Suite 1311
Chicago, IL 60603-4901

Phone

(312) 251-1405

Fax

(312) 251-3161

NPI assigned

Aug 22, 2006

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

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

Clinical Psychologist

Education

Other, 1976

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Sam R. Hamburg, PH.D., P.C.

  • Adult Mental Health Clinic/Center
  • Chicago, IL
  • NPI 1063157865
  Medicare reassignment NPD

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164538179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 W MONROE ST",
            "address_2": "SUITE 1311",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606034901",
            "telephone_number": "312-251-1405",
            "fax_number": "312-251-3161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 W MONROE ST",
            "address_2": "SUITE 1311",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606034901",
            "telephone_number": "312-251-1405",
            "fax_number": "312-251-3161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMBURG",
        "first_name": "SAM",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Diane Hamberlin, LCPC
• Erin E. Hamblin, MSW
• Ernestine Hambrick, M.D.
• Horace Rhodes Hambrick, MD, MS
• Briana Hambright Hall
• Ayelet Hamburger, AU.D.
• Julie Brittany Hamby, DPT
• Jawad H Hamdan, PHARMD
• Leena Abed Hamdan, PA-C
• Hamdard Health Alliance

• Clinical Psychologist in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.