Individual provider Active NPI

Chad Lewis Hamman

  • Behavior Technician
  • Centreville, VA
National Provider Identifier
1881287605
Registry record updated Feb 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-20-119784 Issued in VA
Practice address
14608 Thera Way
Centreville, VA 20120-3451
Phone
(703) 286-9878
NPI assigned
Feb 12, 2021
Last updated
Feb 12, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-20-119784 VA Primary

Addresses

Primary practice location

14608 Thera Way
Centreville, VA 20120-3451

Mailing address

14608 Thera Way
Centreville, VA 20120-3451
Phone (703) 286-9878

Other practice location 1

14608 Thera Way
Centreville, VA 20120-3451
Phone (703) 286-9878

Other identifiers 1

IdentifierTypeStateIssuer
T63825767OtherVACOMMERCIAL INSURANCE PROVIDERS

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL ChadHamman9@gmail.com

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

LicenseStateTypeSpecialty
RBT-20-119784VAMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Expectations LLC CurrentSince Feb 14, 2021 Accepting new patients
Autism Therapy, LLC CurrentSince Mar 27, 2022 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1613088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613088000000",
    "number": "1881287605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14608 THERA WAY",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201203451",
            "telephone_number": "703-286-9878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14608 THERA WAY",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201203451",
            "telephone_number": "703-286-9878"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14608 Thera Way",
            "address_purpose": "LOCATION",
            "city": "Centreville",
            "state": "VA",
            "postal_code": "201203451",
            "country_code": "US",
            "telephone_number": "703-286-9878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMMAN",
        "first_name": "CHAD",
        "middle_name": "LEWIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-12",
        "last_updated": "2021-02-12",
        "certification_date": "2021-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "VA",
            "license": "RBT-20-119784",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL INSURANCE PROVIDERS",
            "identifier": "T63825767",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ChadHamman9@gmail.com",
            "affiliation": "N",
            "address_1": "14608 Thera Way",
            "city": "Centreville",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201203451",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Centreville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.