Active NPI
Michael L Hammer, PHD
- Psychologist
- Prairie Du Sac, WI
National Provider Identifier
1629035324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1828
- Practice address
- 560 4TH St
Pathway Clinic SC
Prairie Du Sac, WI 53578 - Phone
- (608) 643-3663
- Fax
- (608) 643-5014
- NPI assigned
- Apr 27, 2006
- Last updated
- Jul 13, 2026
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 1828 | WI | Primary |
Addresses
Primary practice location
560 4TH St
Pathway Clinic SC
Prairie Du Sac, WI 53578
Mailing address
560 4TH St
Pathway Clinic SC
Prairie Du Sac, WI 53578
Phone (608) 643-3663
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39107900 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
560 4TH St
Prairie Du Sac, WI 53578-1136
Phone (608) 643-3663
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pathway to Wellness Community Clinic SC | Psychologist | Current | Accepting new patients |
| Erc Wisconsin, LLC | Past | Accepting new patients |
Locations
560 4th St
Prairie du Sac, WI 53578
Phone (608) 643-3663
Organizations & group practices 2
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.
-
- Clinical Social Worker
- Prairie Du Sac, WI
- NPI 1528413739
Psychologist
-
- Adult Mental Health Clinic/Center
- Wauwatosa, WI
- NPI 1730853870
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1629035324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "560 4TH ST",
"address_2": "PATHWAY CLINIC SC",
"city": "PRAIRIE DU SAC",
"state": "WI",
"postal_code": "53578",
"telephone_number": "608-643-3663",
"fax_number": "608-643-5014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "560 4TH ST",
"address_2": "PATHWAY CLINIC SC",
"city": "PRAIRIE DU SAC",
"state": "WI",
"postal_code": "53578",
"telephone_number": "608-643-3663",
"fax_number": "608-643-5014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMMER",
"first_name": "MICHAEL",
"middle_name": "L",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-27",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WI",
"license": "1828",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "39107900",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Prairie Du Sac, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.