Jackie Hammelman, PHD CLINICAL PSYCHOL
NPI 1063858546ActiveIndividual· Psychologist, Forensic· Ft. Bragg, NC
Psychologist, Forensic (PHD CLINICAL PSYCHOL) in Ft. Bragg, North Carolina, licensed in WA, with an NPI issued in May 2013.
Overview
| NPI | 1063858546 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD CLINICAL PSYCHOL |
| Sole proprietor | No |
| NPI issued | May 10, 2013 |
| Last updated in NPPES | Mar 11, 2024 |
| Certified by provider | Mar 8, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Forensic Primary | 103TF0200X | — | WA |
| Psychologist, Clinical | 103TC0700X | PY60522506 | WA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
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