Individual provider Active NPI

Michelle Yoder Hamilton, PHD

  • Clinical Psychologist
  • Charlottesville, VA
National Provider Identifier
1952965360
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810007478 Issued in VA
Practice address
3500 Remson CT
Charlottesville, VA 22901-3508
Phone
(434) 923-8252
NPI assigned
May 1, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 0810007478 VA Primary

Addresses

Primary practice location

3500 Remson CT
Charlottesville, VA 22901-3508

Mailing address

814 Saint Clair Ave Apt B
Charlottesville, VA 22902-4919
Phone (301) 221-7133

Other practice location 1

300 Claremont Ln Ste 103
Crozet, VA 22932-3455
Phone (434) 466-1588

Other identifiers 1

IdentifierTypeStateIssuer
0810007478OtherVASTATE LICENSING BOARD

Other names 1

  • Michelle Lynn Yoder Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
0810007478VAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Aligned Clinical & Educational Services Clinical PastSince Jan 8, 2023 Accepting new patients
Virginia Institute of Autism PastSince May 16, 2021 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1556668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1952965360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 SAINT CLAIR AVE APT B",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229024919",
            "telephone_number": "301-221-7133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 REMSON CT",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229013508",
            "telephone_number": "434-923-8252"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Claremont Ln Ste 103",
            "address_purpose": "LOCATION",
            "city": "Crozet",
            "state": "VA",
            "postal_code": "229323455",
            "country_code": "US",
            "telephone_number": "434-466-1588",
            "fax_number": "866-289-5249",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "MICHELLE",
        "middle_name": "YODER",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-01",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810007478",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSING BOARD",
            "identifier": "0810007478",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "YODER",
            "middle_name": "LYNN",
            "credential": "PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Charlottesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; 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.