Mary Kathryn Hamilton, PH. D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY 1179 Issued in WA

Practice address

4041 Ruston Way Ste 202
Tacoma, WA 98402-5300

Phone

(253) 566-2851

Fax

(253) 761-3288

NPI assigned

Feb 20, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Apr 1, 2016 through Apr 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Mary K. Simonson, MD PLLC

  • Medical Specialty Clinic/Center
  • Tacoma, WA
  • NPI 1295334555
  NPD (past)

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

{
    "created_epoch": "1140393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320192000000",
    "number": "1902871320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4041 RUSTON WAY STE 202",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984025300",
            "telephone_number": "253-566-2851",
            "fax_number": "253-761-3288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4041 RUSTON WAY STE 202",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984025300",
            "telephone_number": "253-566-2851",
            "fax_number": "253-761-3288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "MARY",
        "middle_name": "KATHRYN",
        "name_prefix": "Dr.",
        "credential": "PH. D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-20",
        "last_updated": "2011-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WA",
            "license": "PSY 1179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7078058",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ian Robert Hamilton
• Isabelle Paige Hamilton, PTA
• Jack Miller Hamilton Jr., PHARMD, MBA
• Kimberly Lavon Hamilton
• Mary Jones Hamilton, DMD
• Masha Hamilton
• Nicki L Hamilton, CRNA
• Rachael Hamilton, RD
• Kendale Hamlett
• Alyssa Hamlin, MD

• Psychologist in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.