Individual provider Active NPI

Lynnae Amerson Hamilton, PH.D.

  • Clinical Psychologist
  • Columbia, MD
National Provider Identifier
1801116512
Registry record updated Dec 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
04647 Issued in MD
Practice address
10632 Little Patuxent Pkwy
Suite 340
Columbia, MD 21044-3273
Phone
(301) 281-5399
NPI assigned
Jun 3, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 04647 MD Primary
Clinical Psychologist 103TC0700X 1493 AL

Addresses

Primary practice location

10632 Little Patuxent Pkwy
Suite 340
Columbia, MD 21044-3273

Mailing address

10632 Little Patuxent Pkwy
Suite 340
Columbia, MD 21044-3273
Phone (301) 281-5399

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160310000026 MD Practitioner - Clinical Psychologist 0446421523 Reassigns benefits to 1 organization
Practice locations: Columbia, MD

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total Health Care IncGroup PAC ID 0446258487, 57 clinicians

Practice addresses (Care Compare)

1501 Division St
Baltimore, MD 21217-3121
Phone (410) 383-8300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1493ALMDClinical Psychologist
04647MDMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Total Health Care Inc Current Accepting new patients
Total Health Care Inc CurrentSince Dec 26, 2015 Accepting new patients
Total Health Care Inc. CurrentSince Dec 26, 2015 Accepting new patients

Locations

1111 Washington Blvd
Baltimore, MD 21230
Phone (410) 783-1859

2400 Kirk Ave
Baltimore, MD 21218
Phone (410) 243-1800

1501 Division St
Baltimore, MD 21217
Phone (410) 735-5390

1501 W Saratoga St
Baltimore, MD 21223
Phone (410) 383-7197

2288 Blue Water Blvd
Ste 440
Odenton, MD 21113
Phone (410) 674-7403

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GJFJBD

Organizations & group practices 3

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": "1275523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482969600000",
    "number": "1801116512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10632 LITTLE PATUXENT PKWY",
            "address_2": "SUITE 340",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443273",
            "telephone_number": "301-281-5399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10632 LITTLE PATUXENT PKWY",
            "address_2": "SUITE 340",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443273",
            "telephone_number": "301-281-5399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "LYNNAE",
        "middle_name": "AMERSON",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-03",
        "last_updated": "2016-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "04647",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AL",
            "license": "1493",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.