Active NPI
Dustin Hamilton, PSY.D
- Clinical Psychologist
- Winter Park, FL
National Provider Identifier
1427466515
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY 9345
- Practice address
- 925 S Semoran Blvd Ste 114
Winter Park, FL 32792-5313 - Phone
- (407) 621-2600
- NPI assigned
- Aug 1, 2014
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY 9345 | FL | Primary |
Addresses
Primary practice location
925 S Semoran Blvd Ste 114
Winter Park, FL 32792-5313
Mailing address
925 S Semoran Blvd Ste 114
Winter Park, FL 32792-5313
Phone (407) 621-2600
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY 9345 | FL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440979200000",
"number": "1427466515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "925 S SEMORAN BLVD STE 114",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327925313",
"telephone_number": "407-621-2600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "925 S SEMORAN BLVD STE 114",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327925313",
"telephone_number": "407-621-2600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMILTON",
"first_name": "DUSTIN",
"credential": "PSY.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-08-01",
"last_updated": "2015-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY 9345",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winter Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.