Active NPI
Dorothy Renee Hamilton, PSS
- Peer Specialist
- Worcester, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- Practice address
- 108 Grove St Ste 200
Worcester, MA 01605-2651 - Phone
- (774) 460-8436
- Fax
- (833) 962-2102
- NPI assigned
- Jan 25, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | Primary |
Addresses
Primary practice location
108 Grove St Ste 200
Worcester, MA 01605-2651
Mailing address
221 Crescent St Ste 202
Waltham, MA 02453-3425
Phone (781) 487-1107
Other practice location 1
348 N Pearl St Ste 200
Brockton, MA 02301-1197
Phone (508) 210-1163
Other practice location 2
325 Chelmsford St Unit 6
Lowell, MA 01851-4429
Phone (978) 321-0750
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eleanor Health Professional Ma, PLLC | Current | Accepting new patients |
Locations
348 N Pearl St
Ste 200
Brockton, MA 02301
Phone (508) 210-1163
325 Chelmsford St
Unit 6
Lowell, MA 01851
Phone (978) 321-0750
221 Crescent St
Ste 202
Waltham, MA 02453
Phone (617) 958-1611
108 Grove St
Ste 200
Worcester, MA 01605
Phone (774) 460-8436
Organizations & group practices 1
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.
-
- Addiction Medicine (Psychiatry & Neurology) Physician
- Brockton, MA
- NPI 1205446374
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674604800000",
"number": "1578279451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221 CRESCENT ST STE 202",
"city": "WALTHAM",
"state": "MA",
"postal_code": "024533425",
"telephone_number": "781-487-1107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 GROVE ST STE 200",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016052651",
"telephone_number": "774-460-8436",
"fax_number": "833-962-2102"
}
],
"practiceLocations": [
{
"address_1": "348 N Pearl St Ste 200",
"address_purpose": "LOCATION",
"city": "Brockton",
"state": "MA",
"postal_code": "023011197",
"country_code": "US",
"telephone_number": "508-210-1163",
"fax_number": "833-464-3408",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "325 Chelmsford St Unit 6",
"address_purpose": "LOCATION",
"city": "Lowell",
"state": "MA",
"postal_code": "018514429",
"country_code": "US",
"telephone_number": "978-321-0750",
"fax_number": "833-314-0394",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAMILTON",
"first_name": "DOROTHY",
"middle_name": "RENEE",
"credential": "PSS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-01-25",
"last_updated": "2023-01-25",
"certification_date": "2023-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.