Active NPI
Marilynn K Hammond, MD
- Psychiatry Physician
- Mobile, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- AL00023036
- Practice address
- 273 Azalea Rd
One Office Park Suite 302
Mobile, AL 36609-1970 - Phone
- (251) 343-3888
- Fax
- (251) 343-3565
- NPI assigned
- Oct 31, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 32392 | MN | |
| Psychiatry Physician | 2084P0800X | AL00023036 | AL | Primary |
Addresses
Primary practice location
273 Azalea Rd
One Office Park Suite 302
Mobile, AL 36609-1970
Mailing address
273 Azalea Rd
One Office Park Suite 302
Mobile, AL 36609-1970
Phone (251) 343-3888
Other practice location 1
640 Jackson St
Saint Paul, MN 55101-2502
Phone (651) 254-4786
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 149053 | Other | VALUE OPTS | |
| 51522461 | Other | BCBS OF AL | |
| 240539 | Other | COMPSYCH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AL00023036 | AL | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Group Health, Inc. | Current | Accepting new patients | |
| Group Health Plan, Inc. | Current | Accepting new patients | |
| Marilynn Hammond MD LLC | Psychiatry | Current | Accepting new patients |
| Group Health, Inc. | Current | Accepting new patients | |
| Neurology Child and Adult PC | Past | Accepting new patients | |
| Foley Clinic Corp | Past | Accepting new patients |
Locations
8170 33rd Ave S
#21110Q
Minneapolis, MN 55425
Phone (952) 883-5375
2220 Riverside Ave
Minneapolis, MN 55454
Phone (612) 371-1600
8600 Nicollet Ave S
Minneapolis, MN 55420
Phone (952) 887-6600
640 Jackson St
Saint Paul, MN 55101
Phone (651) 221-2164
Interoperability endpoints
- https://api.platform.athenahealth.com/1599/brand/1/csg/341/fhir/r4
Organizations & group practices 6
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.
-
- Multi-Specialty Clinic/Center
- Minneapolis, MN
- NPI 1710924683
-
- Psychiatry Physician
- Mobile, AL
- NPI 1225202401
-
- Health Service Clinic/Center
- Anoka, MN
- NPI 1962704346
-
- General Practice Dentistry
- Saint Paul, MN
- NPI 1952042053
-
- Durable Medical Equipment & Medical Supplies
- Foley, AL
- NPI 1427296029
-
- Specialist
- Mobile, AL
- NPI 1902980345
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544745600000",
"number": "1306837315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "273 AZALEA RD",
"address_2": "ONE OFFICE PARK SUITE 302",
"city": "MOBILE",
"state": "AL",
"postal_code": "366091970",
"telephone_number": "251-343-3888",
"fax_number": "251-343-3565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "273 AZALEA RD",
"address_2": "ONE OFFICE PARK SUITE 302",
"city": "MOBILE",
"state": "AL",
"postal_code": "366091970",
"telephone_number": "251-343-3888",
"fax_number": "251-343-3565"
}
],
"practiceLocations": [
{
"address_1": "640 Jackson St",
"address_purpose": "LOCATION",
"city": "Saint Paul",
"state": "MN",
"postal_code": "551012502",
"country_code": "US",
"telephone_number": "651-254-4786",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAMMOND",
"first_name": "MARILYNN",
"middle_name": "K",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-10-31",
"last_updated": "2018-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MN",
"license": "32392",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "AL",
"license": "AL00023036",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTS",
"identifier": "149053",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF AL",
"identifier": "51522461",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMPSYCH",
"identifier": "240539",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.