Individual provider Active NPI

Robert Charles Hammond, PSY.D.

  • Clinical Psychologist
  • Vermilion, OH
National Provider Identifier
1578818969
Registry record updated Jul 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
5671 Issued in OH
Practice address
2180 Claus Rd
Vermilion, OH 44089-3502
Phone
(440) 984-1675
NPI assigned
Jul 21, 2012
Last updated
Jul 21, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2012

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 5671 OH Primary

Addresses

Primary practice location

2180 Claus Rd
Vermilion, OH 44089-3502

Mailing address

2180 Claus Rd
Vermilion, OH 44089-3502
Phone (440) 984-1675

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20240821002105 OH Practitioner - Clinical Psychologist 2961704887 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lorain County Health & Dentistry CurrentSince Jul 10, 2024 Accepting new patients
Lorain County Health & Dentistry Current Accepting new patients
Lorain County Health & Dentistry CurrentSince Jul 10, 2024 Accepting new patients
Psychological Transitions, Inc Clinical PastSince Apr 1, 1995 Accepting new patients

Locations

105 Louden Ct
Elyria, OH 44035

1205 Broadway
Lorain, OH 44052

3745 Grove Ave
Lorain, OH 44055
Phone (440) 240-1901

260 S Main St
Oberlin, OH 44074

Interoperability endpoints

  • Direct secure messaging: robert.hammond.p11@direct.loraincountyhealth.nextgenshare.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1342828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342828800000",
    "number": "1578818969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2180 CLAUS RD",
            "city": "VERMILION",
            "state": "OH",
            "postal_code": "440893502",
            "telephone_number": "440-984-1675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2180 CLAUS RD",
            "city": "VERMILION",
            "state": "OH",
            "postal_code": "440893502",
            "telephone_number": "440-984-1675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMMOND",
        "first_name": "ROBERT",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-21",
        "last_updated": "2012-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "5671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vermilion, OH

Sources for this page

Verify at the official NPI Registry.