Organization Active NPI

Joseph C Hammock PHD PC

  • Clinical Psychologist
  • Colorado Springs, CO
National Provider Identifier
1194926006
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
891 Issued in CO
Legal business name
JOSEPH C HAMMOCK PHD PC
Practice address
3630 Sinton Rd Ste 100
Colorado Springs, CO 80907-5072
Phone
(719) 460-9055
Fax
(719) 387-4645
NPI assigned
May 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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

Authorized official

Name
Dr. Joseph C Hammock Jr., PHDNPI 1376714584
Title
President
Phone
(719) 460-9055

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 PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 891 CO Primary

Addresses

Primary practice location

3630 Sinton Rd Ste 100
Colorado Springs, CO 80907-5072

Mailing address

3630 Sinton Rd Ste 100
Colorado Springs, CO 80907-5072
Phone (719) 460-9055

Other names 1

  • JC Hammock PhD PC Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091116000307 CO Part B Supplier - Clinic/Group Practice 8224186853 Receives reassigned benefits from 1 practitioner
Practice locations: Colorado Springs, CO

National Provider Directory

National Provider Directory

Locations

629 N Weber St
Ste 4
Colorado Springs, CO 80903
Phone (719) 460-9055

629 N Weber St
Ste 6
Colorado Springs, CO 80903
Phone (719) 460-9055

801 N Weber St
Ste 300
Colorado Springs, CO 80903

3630 Sinton Rd
Ste 100
Colorado Springs, CO 80907
Phone (719) 359-8812

Practitioners & affiliated clinicians

Practitioners 1

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": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733270400000",
    "number": "1194926006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3630 SINTON RD STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809075072",
            "telephone_number": "719-460-9055",
            "fax_number": "719-387-4645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3630 SINTON RD STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809075072",
            "telephone_number": "719-460-9055",
            "fax_number": "719-387-4645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH C HAMMOCK PHD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A",
        "authorized_official_last_name": "HAMMOCK",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "719-460-9055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JC Hammock PhD PC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.