Eyvind Hammersmark

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LF 00001457 Issued in WA

Practice address

10309 NE 185TH St
Bothell, WA 98011-3437

Phone

(425) 485-6541

Fax

(425) 485-4154

NPI assigned

Apr 30, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Mr. Eyvind Hammersmark Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Northshore Youth and Family Services

  • Community/Behavioral Health Agency
  • Bothell, WA
  • NPI 1952609133
  NPD (past)
• Northstore Youth & Family SVCS

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bothell, WA
  • NPI 1881735652
  NPD (past)

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

{
    "created_epoch": "1335744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335744000000",
    "number": "1710245576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10309 NE 185TH ST",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980113437",
            "telephone_number": "425-485-6541",
            "fax_number": "425-485-4154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10309 NE 185TH ST",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980113437",
            "telephone_number": "425-485-6541",
            "fax_number": "425-485-4154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMMERSMARK",
        "first_name": "EYVIND",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-30",
        "last_updated": "2012-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00005556",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LF 00001457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EYVIND",
            "last_name": "HAMMERSMARK",
            "prefix": "MR.",
            "credential": "LMFT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jamie Ham, DO
• Amanda Angela Hamilton
• Alexander M Hamling, MD
• Grace Hamlow
• Jana Ikeda Hammerquist, OTR/L
• Christine Elizabeth Hamstra, LMT
• Marena Lauren Hand, MA 60288098
• Leah Haney
• Joseph Michael Hanrahan, D.D.S.
• Lynette Patricia Hansen, LMP

• All providers in Bothell, WA
• Marriage & Family Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2012; 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.