Active NPI
Judith Roes Hammerle, PH.D., LLC
- Clinical Psychologist
- Adrian, MI
National Provider Identifier
1770714891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6301002085
- Legal business name
- JUDITH ROES HAMMERLE, PH.D., LLC
- Practice address
- 1183 Glendale Ave
Adrian, MI 49221-1306 - Phone
- (517) 260-1762
- Fax
- (517) 265-2853
- NPI assigned
- Aug 6, 2009
- Last updated
- Apr 21, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Judith Roes Hammerle, PH.D.
- Title
- Psychologist
- Phone
- (517) 260-1762
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6301002085 | MI | Primary |
Addresses
Primary practice location
1183 Glendale Ave
Adrian, MI 49221-1306
Mailing address
1183 Glendale Ave
Adrian, MI 49221-1306
Phone (517) 260-1762
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Psychologist
- Adrian, MI
- NPI 1184618217
-
- Clinical Social Worker
- Adrian, MI
- NPI 1164795811
-
- Social Worker
- Adrian, MI
- NPI 1447449954
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249516800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1398038400000",
"number": "1770714891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1183 GLENDALE AVE",
"city": "ADRIAN",
"state": "MI",
"postal_code": "492211306",
"telephone_number": "517-260-1762",
"fax_number": "517-265-2853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1183 GLENDALE AVE",
"city": "ADRIAN",
"state": "MI",
"postal_code": "492211306",
"telephone_number": "517-260-1762",
"fax_number": "517-265-2853"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JUDITH ROES HAMMERLE, PH.D., LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-08-06",
"last_updated": "2014-04-21",
"status": "A",
"authorized_official_last_name": "HAMMERLE",
"authorized_official_first_name": "JUDITH",
"authorized_official_middle_name": "ROES",
"authorized_official_title_or_position": "PSYCHOLOGIST",
"authorized_official_telephone_number": "517-260-1762",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6301002085",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Adrian, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.