Active NPI
Elizabeth Sarah Hammer, PHD
- Psychologist
- San Diego, CA
National Provider Identifier
1710123872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY24827
- Practice address
- 6735 Decanture St
San Diego, CA 92120 - Phone
- (619) 255-8954
- Fax
- (619) 255-8954
- NPI assigned
- Dec 19, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | PSB33458 | CA | |
| Psychologist | 103T00000X | PSY24827 | CA | Primary |
Addresses
Primary practice location
6735 Decanture St
San Diego, CA 92120
Mailing address
5173 Waring Road
Suite a, #5
San Diego, CA 92120
Phone (619) 306-5727
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| W416 | Other | CA | MEDICARE PTAN |
Other names 1
- Elizabeth Sarah Finke
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Apr 1, 2023 through Apr 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSB33458 | CA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mark David Levine, MD Burlingame PC | Past | 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.
-
- Psychiatry Physician
- San Mateo, CA
- NPI 1770709263
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616544000000",
"number": "1710123872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5173 WARING ROAD",
"address_2": "SUITE A, #5",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92120",
"telephone_number": "619-306-5727",
"fax_number": "619-528-4625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6735 DECANTURE ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92120",
"telephone_number": "619-255-8954",
"fax_number": "619-255-8954"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMMER",
"first_name": "ELIZABETH",
"middle_name": "SARAH",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-12-19",
"last_updated": "2021-03-24",
"certification_date": "2021-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": "PSB33458",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY24827",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "W416",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ELIZABETH",
"last_name": "FINKE",
"middle_name": "SARAH",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.