1649433954 NPI number — DC HAMILTON LMFT

Table of content: DC HAMILTON LMFT (NPI 1649433954)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1649433954 NPI number — DC HAMILTON LMFT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HAMILTON
Provider First Name:
DC
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
LMFT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
HAMILTON
Provider Other First Name:
D.
Provider Other Middle Name:
C.
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
LMFT
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1649433954
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/19/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
915 W. FOOTHILL BLVD. ST
Provider Second Line Business Mailing Address:
SUITE C-433
Provider Business Mailing Address City Name:
CLAREMONT
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
91711-2500
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
626-317-6443
Provider Business Mailing Address Fax Number:
626-605-1951

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7365 CARNELIAN STREET
Provider Second Line Business Practice Location Address:
SUITE 132
Provider Business Practice Location Address City Name:
RANCHO CUCAMONGA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91730-1100
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
626-317-6443
Provider Business Practice Location Address Fax Number:
626-605-1951
Provider Enumeration Date:
07/07/2008

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 106H00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 101YM0800X , with the licence number: LMFT101375 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)