Individual provider Active NPI

Gregory Edmund Hamlin

  • Clinical Psychologist
  • Santa Clarita, CA
National Provider Identifier
1609113042
Registry record updated Jan 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY16871 Issued in CA
Practice address
25050 Avenue Kearny
Suite 201
Santa Clarita, CA 91355-1255
Phone
(661) 297-2326
Fax
(661) 310-0075
NPI assigned
Jan 4, 2013
Last updated
Jan 4, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2013

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral Psychologist 103TB0200X PSY16871 CA
Clinical Psychologist 103TC0700X PSY16871 CA Primary
Clinical Child & Adolescent Psychologist 103TC2200X PSY16871 CA
Family Psychologist 103TF0000X PSY16871 CA

Addresses

Primary practice location

25050 Avenue Kearny
Suite 201
Santa Clarita, CA 91355-1255

Mailing address

25050 Avenue Kearny
Suite 201
Santa Clarita, CA 91355-1255
Phone (661) 297-2326

Other names 1

  • Gregory E Hamlin PHD Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Dec 3, 2019 through Dec 3, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PSY16871CAMDFamily Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1357257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357257600000",
    "number": "1609113042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25050 AVENUE KEARNY",
            "address_2": "SUITE 201",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913551255",
            "telephone_number": "661-297-2326",
            "fax_number": "661-310-0075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25050 AVENUE KEARNY",
            "address_2": "SUITE 201",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913551255",
            "telephone_number": "661-297-2326",
            "fax_number": "661-310-0075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMLIN",
        "first_name": "GREGORY",
        "middle_name": "EDMUND",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-01-04",
        "last_updated": "2013-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "CA",
            "license": "PSY16871",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY16871",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "CA",
            "license": "PSY16871",
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "CA",
            "license": "PSY16871",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GREGORY E",
            "last_name": "HAMLIN PHD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Santa Clarita, CA

Sources for this page

Verify at the official NPI Registry.