Active NPI
Frederick Hambly, MD
- Psychiatry Physician
- Lansing, MI
National Provider Identifier
1326004292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 4301030564
- Practice address
- 812 E Jolly Rd
Ste 215
Lansing, MI 48910-6818 - Phone
- (517) 346-8340
- Fax
- (517) 346-8291
- NPI assigned
- Apr 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 4301030564 | MI | Primary |
Addresses
Primary practice location
812 E Jolly Rd
Ste 215
Lansing, MI 48910-6818
Mailing address
812 E Jolly Rd
Ste 210
Lansing, MI 48910-6818
Phone (517) 346-8410
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 105105981 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283385600000",
"number": "1326004292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "812 E JOLLY RD",
"address_2": "STE 210",
"city": "LANSING",
"state": "MI",
"postal_code": "489106818",
"telephone_number": "517-346-8410",
"fax_number": "517-346-8291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "812 E JOLLY RD",
"address_2": "STE 215",
"city": "LANSING",
"state": "MI",
"postal_code": "489106818",
"telephone_number": "517-346-8340",
"fax_number": "517-346-8291"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMBLY",
"first_name": "FREDERICK",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-21",
"last_updated": "2010-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MI",
"license": "4301030564",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "105105981",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.