Individual provider Active NPI

Celine Alyssa Hamilton, MD

  • Child & Adolescent Psychiatry Physician
  • Hollywood, FL
National Provider Identifier
1801000971
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
ME134945 Issued in FL
Practice address
2525 Embassy Dr Ste 16
Hollywood, FL 33026-4573
Phone
(714) 614-2873
NPI assigned
May 9, 2007
Reactivated
Jun 13, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X ME134945 FL Primary
Child & Adolescent Psychiatry Physician 2084P0804X 242821 NY
Pediatrics Physician 208000000X 242821 NY

Addresses

Primary practice location

2525 Embassy Dr Ste 16
Hollywood, FL 33026-4573

Mailing address

2525 Embassy Dr Ste 16
Hollywood, FL 33026-4573
Phone (714) 614-2873

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190225001843 FL Practitioner - Psychiatry 9537345236 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
242821NYMDPediatrics Physician
ME134945FLMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Broward Hospital District Child & Adolescent Psychiatry CurrentSince Nov 21, 2018 Accepting new patients
South Broward Hospital District CurrentSince Nov 21, 2018 Accepting new patients

Locations

1150 N 35th Ave
Ste 560
Hollywood, FL 33021
Phone (954) 265-1260

3440 Hollywood Blvd
Ste 360
Hollywood, FL 33021
Phone (954) 276-9200

2900 Corporate Way
#D
Miramar, FL 33025
Phone (954) 276-5581

Interoperability endpoints

  • Direct secure messaging: chamilton201815@mhsdirect.net

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1801000971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 EMBASSY DR STE 16",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330264573",
            "telephone_number": "714-614-2873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 EMBASSY DR STE 16",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330264573",
            "telephone_number": "714-614-2873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "CELINE",
        "middle_name": "ALYSSA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "deactivation_date": "2007-07-17",
        "reactivation_date": "2008-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "FL",
            "license": "ME134945",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NY",
            "license": "242821",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "242821",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.