Active NPI
Richard Charles Hammond
- Addiction (Substance Use Disorder) Counselor
- Clearlake, CA
National Provider Identifier
1831729201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- RS6349
- Practice address
- 7000 B South Center Drive
Clearlake, CA 95422 - Phone
- (707) 994-7090
- NPI assigned
- Jan 24, 2020
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | RS6349 | CA | Primary |
Addresses
Primary practice location
7000 B South Center Drive
Clearlake, CA 95422
Mailing address
7000-B South Center Dr
Clearlake, CA 95422
Phone (707) 994-7090
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RS6349 | CA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579824000000",
"number": "1831729201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7000-B SOUTH CENTER DR",
"city": "CLEARLAKE",
"state": "CA",
"postal_code": "95422",
"telephone_number": "707-994-7090",
"fax_number": "707-994-7164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7000 B SOUTH CENTER DRIVE",
"city": "CLEARLAKE",
"state": "CA",
"postal_code": "95422",
"telephone_number": "707-994-7090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMMOND",
"first_name": "RICHARD",
"middle_name": "CHARLES",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-01-24",
"last_updated": "2020-01-24",
"certification_date": "2020-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "RS6349",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clearlake, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.