Amy Hamilton

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

LPC004110 Issued in GA

Legal business name

AMY HAMILTON

Practice address

4255 Wade Green Rd NW
Suite 414
Kennesaw, GA 30144-1762

Phone

(678) 213-2194

Fax

(678) 213-2215

NPI assigned

Sep 4, 2008

Organization subpart

No

Name

Dr. Amy L Hamilton, PSYD, LPC

Title

Clinical Coordinator

Phone

(404) 973-5602

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 19, 2012.

{
    "created_epoch": "1220486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355875200000",
    "number": "1730337643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4255 WADE GREEN RD NW",
            "address_2": "SUITE 414",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301441762",
            "telephone_number": "678-213-2194",
            "fax_number": "678-213-2215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4255 WADE GREEN RD NW",
            "address_2": "SUITE 414",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301441762",
            "telephone_number": "678-213-2194",
            "fax_number": "678-213-2215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMY HAMILTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-04",
        "last_updated": "2012-12-19",
        "status": "A",
        "authorized_official_last_name": "HAMILTON",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CLINICAL COORDINATOR",
        "authorized_official_telephone_number": "404-973-5602",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD, LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "LPC004110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.