NPIMap

Organization Active NPI

Rhonda L Hamm

  • Psychiatry Physician
  • Lewisburg, WV
National Provider Identifier
1720170335
Registry record updated Nov 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
1649 Issued in WV
Legal business name
RHONDA L HAMM
Practice address
333 N Jefferson St
Lewisburg, WV 24901-1116
Phone
(304) 645-7503
Fax
(304) 645-7582
NPI assigned
Sep 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2011

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

Authorized official

Name
Dr. Rhonda L Hamm, DONPI 1538184429
Title
Psychiatrist/Owner
Phone
(304) 645-7503

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X 1649 WV Primary

Addresses

Primary practice location

333 N Jefferson St
Lewisburg, WV 24901-1116

Mailing address

333 N Jefferson St
Lewisburg, WV 24901-1116
Phone (303) 645-7503

Other identifiers 1

IdentifierTypeStateIssuer
3810001633MedicaidWV

Other names 1

  • WILLOW RIDGE PLLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321488000000",
    "number": "1720170335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N JEFFERSON ST",
            "city": "LEWISBURG",
            "state": "WV",
            "postal_code": "249011116",
            "telephone_number": "303-645-7503",
            "fax_number": "304-645-7582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 N JEFFERSON ST",
            "city": "LEWISBURG",
            "state": "WV",
            "postal_code": "249011116",
            "telephone_number": "304-645-7503",
            "fax_number": "304-645-7582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RHONDA L HAMM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2011-11-17",
        "status": "A",
        "authorized_official_last_name": "HAMM",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PSYCHIATRIST/OWNER",
        "authorized_official_telephone_number": "304-645-7503",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WV",
            "license": "1649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810001633",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WILLOW RIDGE PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lewisburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2011; 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.