Individual provider Active NPI

Jonathan Hamlin

  • Psychiatric/Mental Health Nurse Practitioner
  • Pittsburgh, PA
National Provider Identifier
1942637558
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP027409 Issued in PA
Practice address
3811 Ohara St
Pittsburgh, PA 15213-2593
Phone
(412) 647-9380
NPI assigned
Sep 27, 2013
Last updated
Nov 5, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP027409 PA Primary
Registered Nurse 163W00000X RN572494 PA

Addresses

Primary practice location

3811 Ohara St
Pittsburgh, PA 15213-2593

Mailing address

3811 Ohara St
Pittsburgh, PA 15213-2593

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250205002852 PA Practitioner - Nurse Practitioner 5597295568 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN572494PAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
New Directions Mental Health, PC CurrentSince Nov 11, 2024 Accepting new patients
Intercare Health Systems, LTD, Dba Intercare Psychiatric Services Psychiatric/Mental Health PastSince Nov 11, 2024 Accepting new patients

Locations

110 Hidden Valley Rd
McMurray, PA 15317
Phone (724) 941-4040

1000 Gamma Dr
Ste 501
Pittsburgh, PA 15238
Phone (412) 249-9288

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": "1380240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1942637558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3811 OHARA ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152132593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3811 OHARA ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152132593",
            "telephone_number": "412-647-9380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMLIN",
        "first_name": "JONATHAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-27",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP027409",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN572494",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.