Provider Demographics
NPI:1851782619
Name:MARK HAMMEL, PH.D., PSYCHOLOGIST, P.C.
Entity Type:Organization
Organization Name:MARK HAMMEL, PH.D., PSYCHOLOGIST, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMMEL
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:845-339-2352
Mailing Address - Street 1:PO BOX 4335
Mailing Address - Street 2:
Mailing Address - City:KINGSTON
Mailing Address - State:NY
Mailing Address - Zip Code:12402-4335
Mailing Address - Country:US
Mailing Address - Phone:845-339-2352
Mailing Address - Fax:845-943-2271
Practice Address - Street 1:31 PATRICIA LN
Practice Address - Street 2:
Practice Address - City:WOODSTOCK
Practice Address - State:NY
Practice Address - Zip Code:12498-2717
Practice Address - Country:US
Practice Address - Phone:845-339-2352
Practice Address - Fax:845-943-2271
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-13
Last Update Date:2023-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008196-1103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty