James David Hammock, QBHS

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

8015 N Main St
Dayton, OH 45415-2250

Phone

(937) 247-9102

NPI assigned

Jan 23, 2024

Sex

Male

Sole proprietor

No

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.

• Fresh Start Behavioral Health Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Dayton, OH
  • NPI 1093350951
  NPD
• Fresh Start Behavioral Health Inc

  • Community/Behavioral Health Agency
  • Dayton, OH
  • NPI 1588263453
  NPD

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 23, 2024.

{
    "created_epoch": "1705968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1306607692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7030 N MAIN ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454152557",
            "telephone_number": "937-247-9102",
            "fax_number": "937-388-8569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8015 N MAIN ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454152250",
            "telephone_number": "937-247-9102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMMOCK",
        "first_name": "JAMES",
        "middle_name": "DAVID",
        "credential": "QBHS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-23",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Hammer, MD
• Michael Hammer, MD
• Tiffany Renee Hammer
• Hayley Lauren Hammersand, CNP
• J Ryan Hammock, MD
• Nicole Hammock, APRN CNP
• Shanah Hammock, APRN
• Carla Hammond, MPT
• Matthew Hammond
• Roberta Hammond, M.S., L.P.C.C.

• All providers in Dayton, OH
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; 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.