Individual provider Active NPI

Joseph C Hammock Jr., PHD

  • Clinical Psychologist
  • Colorado Springs, CO
National Provider Identifier
1376714584
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
891 Issued in CO
Practice address
3630 Sinton Rd Ste 100
Colorado Springs, CO 80907-5072
Phone
(719) 460-9055
Fax
(719) 387-4645
NPI assigned
Mar 14, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 891 CO Primary

Addresses

Primary practice location

3630 Sinton Rd Ste 100
Colorado Springs, CO 80907-5072

Mailing address

3630 Sinton Rd Ste 100
Colorado Springs, CO 80907-5072
Phone (719) 460-9055

Other identifiers 1

IdentifierTypeStateIssuer
07008915MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091116000305 CO Practitioner - Clinical Psychologist 9638227309 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3630 Sinton Rd
Suite 100
Colorado Springs, CO 80907-5072
Phone (719) 460-9055

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
891COMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Colorado TMS Center, LLC CurrentSince Dec 5, 2013 Accepting new patients
Joseph C Hammock PHD PC Clinical CurrentSince May 8, 2009 Accepting new patients

Locations

3225 International Cir
Ste 100
Colorado Springs, CO 80910
Phone (719) 471-7206

629 N Weber St
Ste 4
Colorado Springs, CO 80903
Phone (719) 460-9055

3630 Sinton Rd
Ste 100
Colorado Springs, CO 80907
Phone (719) 359-8812

Organizations & group practices 2

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": "1205452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1376714584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3630 SINTON RD STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809075072",
            "telephone_number": "719-460-9055",
            "fax_number": "719-387-4645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3630 SINTON RD STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809075072",
            "telephone_number": "719-460-9055",
            "fax_number": "719-387-4645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMMOCK",
        "first_name": "JOSEPH",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-14",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "891",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07008915",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.