Active NPI
Alexandra Hummel, PH.D.
- Clinical Child & Adolescent Psychologist
- Cincinnati, OH
National Provider Identifier
1801241229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- License
- P.07709
- Practice address
- 3333 Burnet Ave # Mlc3015
Cincinnati, OH 45229-3026 - Phone
- (513) 636-9645
- Fax
- (513) 636-3800
- NPI assigned
- May 4, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | P.07709 | OH | Primary |
Addresses
Primary practice location
3333 Burnet Ave # Mlc3015
Cincinnati, OH 45229-3026
Mailing address
3333 Burnet Ave # Mlc3015
Cincinnati, OH 45229-3026
Phone (513) 636-9645
Other practice location 1
3333 Burnet Ave # Mlc4002
Cincinnati, OH 45229-3026
Phone (513) 636-9645
Other practice location 2
3200 MacCorkle Ave SE
Robert C Bird Clinical Training Center, 4th Floor
Charleston, WV 25304-1227
Phone (304) 388-5590
Other practice location 3
3333 Burnet Ave # Mlc4002
Cincinnati, OH 45229-3026
Phone (513) 636-9645
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P.07709 | OH | MD | Clinical Child & Adolescent Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529539200000",
"number": "1801241229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3333 BURNET AVE # MLC3015",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452293026",
"telephone_number": "513-636-9645",
"fax_number": "513-636-3800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3333 BURNET AVE # MLC3015",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452293026",
"telephone_number": "513-636-9645",
"fax_number": "513-636-3800"
}
],
"practiceLocations": [
{
"address_1": "3333 Burnet Ave # Mlc4002",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "452293026",
"country_code": "US",
"telephone_number": "513-636-9645",
"fax_number": "513-636-3800",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3200 MacCorkle Ave SE",
"address_2": "Robert C Bird Clinical Training Center, 4th Floor",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "WV",
"postal_code": "253041227",
"country_code": "US",
"telephone_number": "304-388-5590",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3333 Burnet Ave # Mlc4002",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "452293026",
"country_code": "US",
"telephone_number": "513-636-9645",
"fax_number": "513-636-3800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HUMMEL",
"first_name": "ALEXANDRA",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-04",
"last_updated": "2018-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "OH",
"license": "P.07709",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.