Individual provider Active NPI

Marilynn K Hammond, MD

  • Psychiatry Physician
  • Mobile, AL
National Provider Identifier
1306837315
Registry record updated Dec 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
AL00023036 Issued in AL
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

Updated by the provider on Dec 14, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
149053OtherVALUE OPTS
51522461OtherBCBS OF AL
240539OtherCOMPSYCH

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181228001488 MN Practitioner - Psychiatry 1658348560 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
AL00023036ALMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Group Health, Inc. CurrentSince Jan 15, 2019 Accepting new patients
Group Health Plan, Inc. CurrentSince Jan 15, 2019 Accepting new patients
Marilynn Hammond MD LLC Psychiatry CurrentSince Jun 17, 2004 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.