Active NPI
Daryl K. Hamblin, PH.D., PC
- Clinical Psychologist
- Montgomery, AL
National Provider Identifier
1700815545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- DARYL K. HAMBLIN, PH.D., PC
- Practice address
- 1040 Longfield CT
Montgomery, AL 36117-8055 - Phone
- (334) 288-9009
- Fax
- (334) 288-9497
- NPI assigned
- Jul 2, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Daryl K Hamblin, PH.D.
- Title
- Owner
- Phone
- (334) 288-9009
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary |
Addresses
Primary practice location
1040 Longfield CT
Montgomery, AL 36117-8055
Mailing address
1040 Longfield CT
Montgomery, AL 36117-8055
Phone (334) 288-9009
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| K871 | Other | AL | MEDICARE GROUP NUMBER |
| 167688600 | Other | AL | OWCP PROVIDER NUMBER |
National Provider Directory
National Provider DirectoryLocations
1040 Longfield Ct
Montgomery, AL 36117
Phone (334) 288-9009
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151798400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213056000000",
"number": "1700815545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1040 LONGFIELD CT",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361178055",
"telephone_number": "334-288-9009",
"fax_number": "334-288-9497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1040 LONGFIELD CT",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361178055",
"telephone_number": "334-288-9009",
"fax_number": "334-288-9497"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DARYL K. HAMBLIN, PH.D., PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-02",
"last_updated": "2008-06-10",
"status": "A",
"authorized_official_last_name": "HAMBLIN",
"authorized_official_first_name": "DARYL",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "334-288-9009",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP NUMBER",
"identifier": "K871",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OWCP PROVIDER NUMBER",
"identifier": "167688600",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Montgomery, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.