Individual provider Active NPI

Jeffrey Allen Hammond, PH.D.

  • Psychologist
  • Morgantown, WV
National Provider Identifier
1407101249
Registry record updated Jul 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
521 Issued in WV
Practice address
1286 Suncrest Towne Centre
Morgantown, WV 26505-0001
Phone
(304) 381-4168
Fax
(304) 381-2724
NPI assigned
Jul 18, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 521 WV Primary

Addresses

Primary practice location

1286 Suncrest Towne Centre
Morgantown, WV 26505-0001

Mailing address

1286 Suncrest Towne Centre
Morgantown, WV 26505-0001
Phone (304) 381-4168

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 Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342569600000",
    "number": "1407101249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1286 SUNCREST TOWNE CENTRE",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265050001",
            "telephone_number": "304-381-4168",
            "fax_number": "304-381-2724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1286 SUNCREST TOWNE CENTRE",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265050001",
            "telephone_number": "304-381-4168",
            "fax_number": "304-381-2724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMMOND",
        "first_name": "JEFFREY",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-18",
        "last_updated": "2012-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WV",
            "license": "521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2012; 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.