Individual provider Active NPI

Tammy Morgan Hamner

  • Psychologist
  • Bridgeport, WV
National Provider Identifier
1700856424
Registry record updated Mar 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
570 Issued in WV
Practice address
917 W Main St
Harron Square, Suite 203
Bridgeport, WV 26330-1650
Phone
(304) 842-7007
Fax
(304) 842-7099
NPI assigned
Jan 25, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 570 WV Primary

Addresses

Primary practice location

917 W Main St
Harron Square, Suite 203
Bridgeport, WV 26330-1650

Mailing address

917 W Main St
Harron Square, Suite 203
Bridgeport, WV 26330-1650
Phone (304) 842-7007

Other identifiers 1

IdentifierTypeStateIssuer
9204026000MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
570WVMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Tammy Morgan Hamner PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206489600000",
    "number": "1700856424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 W MAIN ST",
            "address_2": "HARRON SQUARE, SUITE 203",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263301650",
            "telephone_number": "304-842-7007",
            "fax_number": "304-842-7099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 W MAIN ST",
            "address_2": "HARRON SQUARE, SUITE 203",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263301650",
            "telephone_number": "304-842-7007",
            "fax_number": "304-842-7099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMNER",
        "first_name": "TAMMY",
        "middle_name": "MORGAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-25",
        "last_updated": "2008-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WV",
            "license": "570",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9204026000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.

Verify at the official NPI Registry.