NPIMap

Organization Active NPI

Tammy Morgan Hamner

  • Clinical Child & Adolescent Psychologist
  • Bridgeport, WV
National Provider Identifier
1164559860
Registry record updated Mar 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
WV #570 Issued in WV
Legal business name
TAMMY MORGAN HAMNER
Practice address
917 W Main St
Harron Square, Suite 203
Bridgeport, WV 26330-1650
Phone
(304) 842-7007
Fax
(304) 842-7099
NPI assigned
Feb 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2008

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

Authorized official

Name
Tammy Morgan HamnerNPI 1700856424
Title
Licensed Psychologist
Phone
(304) 842-7007

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC2200X WV #570 WV Primary

Addresses

Primary practice location

917 W Main St
Harron Square, Suite 203
Bridgeport, WV 26330-1650

Mailing address

917 W Main St
Harron Square, Suite 203
Bridgeport, WV 26330-1650
Phone (304) 842-7007

Other identifiers 1

IdentifierTypeStateIssuer
9204026000MedicaidWV

Other names 1

  • Hamner Psychological Services Other name

National Provider Directory

National Provider Directory

Locations

917 W Main St
Ste 203
Bridgeport, WV 26330
Phone (304) 842-7007

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206489600000",
    "number": "1164559860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 W MAIN ST",
            "address_2": "HARRON SQUARE, SUITE 203",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263301650",
            "telephone_number": "304-842-7007",
            "fax_number": "304-842-7099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 W MAIN ST",
            "address_2": "HARRON SQUARE, SUITE 203",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263301650",
            "telephone_number": "304-842-7007",
            "fax_number": "304-842-7099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMMY MORGAN HAMNER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2008-03-26",
        "status": "A",
        "authorized_official_last_name": "HAMNER",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "MORGAN",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "304-842-7007"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "WV",
            "license": "WV #570",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9204026000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hamner Psychological Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bridgeport, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2008; 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.