Tom L Ham, PH.D.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

6301006996 Issued in MI

Practice address

515 Purdue Ave
Saint Louis, MO 63130-4134

Phone

(314) 518-8445

NPI assigned

Jul 23, 2009

Last updated

Jul 23, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1248307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248307200000",
    "number": "1932339041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 PURDUE AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631304134",
            "telephone_number": "314-518-8445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 PURDUE AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631304134",
            "telephone_number": "314-518-8445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAM",
        "first_name": "TOM",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-23",
        "last_updated": "2009-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "6301006996",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MI",
            "license": "6301006996",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF COMMUNITY HEALTH: BOARD OF PSYCHOLOGY",
            "identifier": "6301006996",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin Halvachs, MOTR/L
• Jeffrey Marc Halverson
• Laura Phelps Halverson, MD
• Schuyler Josef Halverson, MD
• Matthew E Halverstadt, M.D.
• Eyad Hamad
• Raber R Hamad, LPC
• Dana Marie Hamann, PH.D.
• Paige Brielle Hamber
• Cristina Kathryn Hamblet

• Counseling Psychologist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Counseling Psychologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2009; 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.