Jordan A Hamilton, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY 14481 Issued in CA

Practice address

128 East St
Auburn, CA 95603-5119

Phone

(530) 889-0178

Fax

(530) 889-8279

NPI assigned

May 21, 2014

Last updated

May 21, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

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 Oct 1, 2015 through Oct 1, 2027

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

• Jordan a. Hamilton,PHD, Inc

  dba California Relationship Center

  • Psychologist
  • Auburn, CA
  • NPI 1073875076
  NPD (past) Authorized official
• Carol Visser, PHD Inc

  • Adult Mental Health Clinic/Center
  • Auburn, CA
  • NPI 1306020011
  NPD (past)

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

{
    "created_epoch": "1400630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400630400000",
    "number": "1912319294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 EAST ST",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956035119",
            "telephone_number": "530-889-0178",
            "fax_number": "530-889-8279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 EAST ST",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956035119",
            "telephone_number": "530-889-0178",
            "fax_number": "530-889-8279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "JORDAN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-21",
        "last_updated": "2014-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY 14481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsea Nicole Haldeman
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• Jennifer Ham, MSW
• Michele Elizabeth Hamburg
• Abigail Grace Hanaway
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• Neil Hanna
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• Roxanne Hanohano, LMFT

• Psychologist in Auburn, CA
• Providers in Auburn, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2014; 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.