Individual provider Active NPI

Christine Mayumi Hamilton, PSYD

  • Clinical Psychologist
  • Colorado Springs, CO
National Provider Identifier
1801167903
Registry record updated Aug 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY.0004866 Issued in CO
Practice address
5350 Tomah Dr Ste 1100
Colorado Springs, CO 80918-6902
Phone
(719) 466-6854
NPI assigned
Jan 20, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2021

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 PY60109618 WA
Clinical Psychologist 103TC0700X PSY.0004866 CO Primary

Addresses

Primary practice location

5350 Tomah Dr Ste 1100
Colorado Springs, CO 80918-6902

Mailing address

430 Beacon Lite Road
Unit 140
Monument, CO 80132
Phone (719) 370-3839

Other practice location 1

430 Beacon Lite Road
Unit 140
Monument, CO 80132-9146
Phone (719) 370-3839

Other names 1

  • Dr. Christine Mayumi Hughes Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20181221000748 CO Practitioner - Clinical Psychologist 8325383243 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

430 Beacon Lite Rd
Unit 140
Monument, CO 80132-9146
Phone (719) 370-3839

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PY60109618WAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Connect Counseling & Psychological Services, PLLC Clinical CurrentSince Sep 1, 2021 Accepting new patients

Locations

430 Beacon Lite Rd
Unit 140
Monument, CO 80132
Phone (719) 201-0951

Organizations & group practices 1

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": "1327017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628121600000",
    "number": "1801167903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 BEACON LITE ROAD",
            "address_2": "UNIT 140",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "80132",
            "telephone_number": "719-370-3839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5350 TOMAH DR STE 1100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809186902",
            "telephone_number": "719-466-6854"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "430 Beacon Lite Road",
            "address_2": "Unit 140",
            "address_purpose": "LOCATION",
            "city": "Monument",
            "state": "CO",
            "postal_code": "801329146",
            "country_code": "US",
            "telephone_number": "719-370-3839",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "CHRISTINE",
        "middle_name": "MAYUMI",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-20",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY60109618",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "PSY.0004866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "HUGHES",
            "middle_name": "MAYUMI",
            "prefix": "DR.",
            "credential": "PSYD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.