| Mark Hammel, Ph.d., Psychologist, P.c. | |
|
31 Patricia Ln Woodstock NY 12498-2717 | |
| (845) 339-2352 | |
| (845) 943-2271 |
| Full Name | Mark Hammel, Ph.d., Psychologist, P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 31 Patricia Ln, Woodstock, New York |
| Authorized Official Name and Position | Mark Hammel (PRESIDENT) |
| Authorized Official Contact | 8453392352 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Hammel, Ph.d., Psychologist, P.c. Po Box 4335 Kingston NY 12402-4335 Ph: (845) 339-2352 | Mark Hammel, Ph.d., Psychologist, P.c. 31 Patricia Ln Woodstock NY 12498-2717 Ph: (845) 339-2352 |
| NPI Number | 1851782619 |
|---|---|
| Provider Enumeration Date | 02/13/2015 |
| Last Update Date | 01/11/2023 |
| Certification Date | 01/11/2023 |
| Medicare PECOS PAC ID | 2163734211 |
|---|---|
| Medicare Enrollment ID | O20150702001665 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851782619 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 008196-1 (New York) | Primary |
| Provider Name | Mark Hammel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558488221 PECOS PAC ID: 9931396488 Enrollment ID: I20101209000444 |
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