Daryl Kim Hamblin

Primary specialty

PsychologistTaxonomy code 103T00000X

License

627 Issued in AL

Practice address

2911 Zelda Rd
Montgomery, AL 36106-2648

Phone

(334) 262-7787

Fax

(334) 262-7795

NPI assigned

Jun 7, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AL

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.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Samaritan Counseling Center, Inc.Group PAC ID 7113922063, 4 clinicians

Practice addresses (Care Compare)

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.

• The Samaritan Counseling Center, Inc.

  • Professional Counselor
  • Montgomery, AL
  • NPI 1326080003
  Medicare reassignment Care Compare group
• Montgomery Psychiatry, P.C.

  • Psychiatry Physician
  • Montgomery, AL
  • NPI 1548299365
  NPD (past)
• Montgomery Psychiatry, PC

  • Psychiatry Physician
  • Tallassee, AL
  • NPI 1821276874
  NPD (past)

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438819200000",
    "number": "1992745988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2911 ZELDA RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361062648",
            "telephone_number": "334-262-7787",
            "fax_number": "334-262-7795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2911 ZELDA RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361062648",
            "telephone_number": "334-262-7787",
            "fax_number": "334-262-7795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMBLIN",
        "first_name": "DARYL",
        "middle_name": "KIM",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2015-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AL",
            "license": "627",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1992745988",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "102I685545",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robbie L. Hall, NP
• Shelby Craft Hall, M.S.
• Tachima V Hall, ALC
• Melanie Halvorson, M.D.
• Rachelle Hamadi, MD
• Farley David Hambright, C.R.N.A.
• Darryl Alonza Hamilton, M.D.
• Denise L Hamilton
• Hannah Elizabeth Hamilton, FNP-C
• Vivian G Hamlett, MD

• Psychologist in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Psychologist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2015; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.