Blair Theresa Hamel, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

4841 Issued in NC

Practice address

1914 Brunswick Ave
#1B
Charlotte, NC 28207-2808

Phone

(704) 910-2055

NPI assigned

Aug 31, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Clinical Psychologist

Education

Pacific Medical College, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cotswold Clinician Support ServicesGroup PAC ID 3971884511, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Cotswold Clinician Support Services

  dba Matone Counseling and Testing

  • Community/Behavioral Health Agency
  • Charlotte, NC
  • NPI 1063893568
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1314748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456876800000",
    "number": "1225319544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3232 KAYLA LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282152713",
            "telephone_number": "801-915-5130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1914 BRUNSWICK AVE",
            "address_2": "#1B",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282072808",
            "telephone_number": "704-910-2055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMEL",
        "first_name": "BLAIR",
        "middle_name": "THERESA",
        "name_prefix": "Mrs.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-31",
        "last_updated": "2016-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "4841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anand Mohan Hamasagar, DDS
• Carrie Lynn Hambrecht, PA-C
• Anthony Curtis Hambright II, D.C.
• David Atwell Hamby, M.A., LCAS
• Violet Hameed-Nelson, LPC
• Kimberly Fena Hamela, LCAS
• Thomas Edward Hamelin Jr., CRNA
• Diamond Hamer
• Angela Hames, QP
• Mary K. Hamid, MD

• Psychologist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.