Organization Active NPI

Hammond Care From the Heart Social Services, LLC.

  • Clinical Psychologist
  • Hammond, IN
National Provider Identifier
1174562532
Registry record updated Feb 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
01194049310012 Issued in IN
Legal business name
HAMMOND CARE FROM THE HEART SOCIAL SERVICES, LLC.
Practice address
534 Conkey St
2ND Floor
Hammond, IN 46324-1100
Phone
(219) 933-7111
Fax
(219) 933-6657
NPI assigned
Jun 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2010

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

Authorized official

Name
Deborah A. Richard
Title
Vice President
Phone
(219) 933-7111

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 01194049310012 IN Primary
Case Management Agency 251B00000X 01194049310012 IN

Addresses

Primary practice location

534 Conkey St
2ND Floor
Hammond, IN 46324-1100

Mailing address

534 Conkey St
Hammond, IN 46324-1100
Phone (219) 933-7111

Other identifiers 1

IdentifierTypeStateIssuer
200440490AOtherINPROVIDER NUMBER

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266537600000",
    "number": "1174562532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "534 CONKEY ST",
            "city": "HAMMOND",
            "state": "IN",
            "postal_code": "463241100",
            "telephone_number": "219-933-7111",
            "fax_number": "219-933-6657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "534 CONKEY ST",
            "address_2": "2ND FLOOR",
            "city": "HAMMOND",
            "state": "IN",
            "postal_code": "463241100",
            "telephone_number": "219-933-7111",
            "fax_number": "219-933-6657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMMOND CARE FROM THE HEART SOCIAL SERVICES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2010-02-19",
        "status": "A",
        "authorized_official_last_name": "RICHARD",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "219-933-7111"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "01194049310012",
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "IN",
            "license": "01194049310012",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER",
            "identifier": "200440490A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammond, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2010; 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.