Individual provider Active NPI

Michael L Hammer, PHD

  • Psychologist
  • Prairie Du Sac, WI
National Provider Identifier
1629035324
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1828 Issued in WI
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
39107900MedicaidWI

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110304000735 WI Practitioner - Clinical Psychologist 5193907640 Reassigns benefits to 1 organization

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
Pathway to Wellness Community Clinic SCGroup PAC ID 4981995479, 4 clinicians

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

OrganizationSpecialtyStatusNew patients
Pathway to Wellness Community Clinic SC Psychologist CurrentSince Jul 1, 2016 Accepting new patients
Erc Wisconsin, LLC PastSince Aug 8, 2021 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.

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

Verify at the official NPI Registry.