Hammerbeck Behavioral Medicine, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

01059001A Issued in IN

Legal business name

HAMMERBECK BEHAVIORAL MEDICINE, LLC

Practice address

2780 Jefferson Center Way
Suite 104
Jeffersonville, IN 47130-8267

Phone

(812) 288-8622

Fax

(812) 288-8632

NPI assigned

Jun 20, 2014

Organization subpart

No

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

Authorized official

Name

Carol M Hammerbeck, M.D.

Title

Owner/Member

Phone

(812) 288-8622

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1403222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403222400000",
    "number": "1396150033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2780 JEFFERSON CENTER WAY",
            "address_2": "SUITE 104",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "47130",
            "telephone_number": "812-288-8622",
            "fax_number": "812-288-8632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2780 JEFFERSON CENTER WAY",
            "address_2": "SUITE 104",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471308267",
            "telephone_number": "812-288-8622",
            "fax_number": "812-288-8632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMMERBECK BEHAVIORAL MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-20",
        "last_updated": "2014-06-20",
        "status": "A",
        "authorized_official_last_name": "HAMMERBECK",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "812-288-8622",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "01059001A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kari Pfau Hall, PT, MPT, DPT
• Laura S Hall, RD, CDE
• Richard Hallum, LCSW
• Humera Hamid, M.D.
• An N Hamman, D.M.D.
• Hammerbeck Psychiatric Associates, LLC
• Carol Hammerbeck
• Robert Brett Hammond
• Melissa Haneberg
• Hanger Drug Company Incorp.

• All providers in Jeffersonville, IN
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2014; 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.