Mark Richard Hammarlund, PHD

Primary specialty

Adult Development & Aging PsychologistTaxonomy code 103TA0700X

License

PY00000968 Issued in WA

Practice address

3101 Oakes Ave
Everett, WA 98201-4405

Phone

(425) 258-4058

NPI assigned

Nov 17, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278028800000",
    "number": "1881768299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 N 143RD ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981337211",
            "telephone_number": "206-361-6206",
            "fax_number": "206-361-5606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 OAKES AVE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982014405",
            "telephone_number": "425-258-4058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMMARLUND",
        "first_name": "MARK",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2010-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "WA",
            "license": "PY00000968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Hamilton, LICSW
• Shannon Hamilton, MSW, MHP, LICSW
• Nancy Hamlin, DNP, PMHNP-BC
• Carla Hamman
• Erin Hamman
• Yvanna Hammen-Alvarez
• Alysann Lyndel Hammer, BAN, RN
• Leah Hammon, RDN, CD
• George Steven Hammond, M.D.
• Julia A Hammond, LMP

• Adult Development & Aging Psychologist in Everett, WA
• Providers in Everett, WA by specialty
• Adult Development & Aging Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2010; 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.