Active NPI
Sharon Hamilton, PHD
- Clinical Psychologist
- Bloomington, IN
National Provider Identifier
1720196363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 20041051
- Practice address
- 208 N Walnut St
Suite 203
Bloomington, IN 47404-4926 - Phone
- (812) 331-0374
- NPI assigned
- Aug 25, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 20041051 | IN | Primary |
Addresses
Primary practice location
208 N Walnut St
Suite 203
Bloomington, IN 47404-4926
Mailing address
208 N Walnut St
Suite 203
Bloomington, IN 47404-4926
Phone (812) 331-0374
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000204007 | Other | IN | ANTHEM |
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20041051 | IN | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720196363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 N WALNUT ST",
"address_2": "SUITE 203",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474044926",
"telephone_number": "812-331-0374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 N WALNUT ST",
"address_2": "SUITE 203",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474044926",
"telephone_number": "812-331-0374"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMILTON",
"first_name": "SHARON",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IN",
"license": "20041051",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000204007",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bloomington, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.