DR. MIRANDA GRACE HAMELBERG (NPI# 1427420942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427420942 |
| Entity Type | Individual |
| Full Name | DR. MIRANDA GRACE HAMELBERG |
| Credential | PSYCHOLOGIST |
| Practice Address |
2005 Knight Lane Bldg H Navy Medicine Support Command Jacksonville FL 32212 |
| Mailing Address |
3850 Weatherstone Cir Pensacola FL 32507-1422 |
| Practice Telephone | 9045427200 |
| Enumeration Date | 2015-10-23 |
| Last Update Date | 2017-11-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
0810005797 | VA | Behavioral Health & Social Service Providers |
| Street Address |
2005 KNIGHT LANE BLDG H NAVY MEDICINE SUPPORT COMMAND |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326018110 | Joseph William Karitis | Dentist | 2005 Knight Lane, Navy Medicine Support Command, Jacksonville, FL 32212-0140 | 2006-01-24 |
| 1669840864 | Thuyvi Amy Truong | Dentist | 2005 Knight Lane, Bldg H Navy Med Support Command Attn Med Staff Svcs, Jacksonville, FL 32212-0140 | 2015-09-04 |
| 1710361498 | Jonathan Marius Rodriguez | Dentist | 2005 Knight Lane, Bldg H, Jacksonville, FL 32212-0140 | 2015-07-13 |
| 1710306238 | Sara Milan | Physical Therapist | 2005 Knight Lane, Bldg. H, Jacksonville, FL 32212-0140 | 2014-04-11 |
| 1659707636 | Noelle Marie Griffith | Nurse Practitioner | 2005 Knight Lane, Bldg H, Jacksonville, FL 32212-0140 | 2013-09-23 |
| 1225479942 | Cathern N Krupinski | Dentist | 2005 Knight Lane, Bldg H, Jacksonville, FL 32212-0140 | 2013-07-10 |
| 1275971699 | John Randolph Dryden | Student in an Organized Health Care Education/Training Program | 2005 Knight Lane, Bldg H, Navy Medical Support Cmmd, Medical Staff Servic, Jacksonville, FL 32212-0140 | 2013-06-07 |
| 1780923557 | Matthew George Lombardi | Student in an Organized Health Care Education/Training Program | 2005 Knight Lane, Bldg H, Jacksonville, FL 32212-0140 | 2013-02-13 |
| 1629317573 | Cynthia Rose Hiers | Psychologist | 2005 Knight Lane, Bldg H Medical Staff Services, Jacksonville, FL 32212-0140 | 2013-02-12 |
| 1306180708 | Ky Trong Le | Dentist | 2005 Knight Lane, Navy Medicine Support Command,, Bldg H, Jacksonville, FL 32212-0140 | 2012-11-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952911752 | Jeff Woohyeok Chang | Dentist | 964 Ajax Street, Jacksonville, FL 32212 | 2020-08-06 |
| 1518484427 | Amy Kathryn Lee | Student in an Organized Health Care Education/Training Program | Bumed, Centralized Credential & Privileging Directorate, 554 Keily Street, Jacksonville, FL 32212 | 2017-08-23 |
| 1659827970 | Noah Fixelle | Dentist | Bureau of Med and Surg Ccpd, 554 Keily Street, Jacksonville, VA 32212 | 2016-08-28 |
| 1972953339 | Colin Kenneth Kelly | General Practice | Bureau of Medicine & Surgery Detachment, Nas Jacksonville, Building 554, Jacksonville, FL 32212 | 2016-06-16 |
| 1912382359 | Caitlyn Brooke Hoysock | Dentist | 554 Keiley Street, Bureau of Medicine and Surgery - Credentials, Jacksonville, FL 32212 | 2015-07-28 |
| 1285017418 | John Alexander Ruch | Dentist | 554 Keily Street Bureau of Med and Surg Ccpd, Jacksonville, FL 32212 | 2015-07-07 |
| 1407238561 | Amanda Mona Lau | Student in an Organized Health Care Education/Training Program | 554 Kelly Street, Attn Centralized Credentialing, Bureau of Medicine and Surgery, Jacksonville, FL 32212 | 2015-06-25 |
| 1063894715 | Heather Dehaan | Family Medicine | 554 Kelly Street Bureau of Medicine and Surgery, Attention: Centralized Credentialing & Privileging Dire, Jacksonville, FL 32212 | 2015-06-18 |
| 1912389677 | Catherine Garcia | Student in an Organized Health Care Education/Training Program | 554 Kelly St, Credentialing & Privileging Directorate, Bureau of Medicine & Surgery, Attention: Centralized, Jacksonville, FL 32212 | 2015-06-18 |
| 1255712675 | James Robert Benson | Dentist | 734 Keily Street, Bumed, Jacksonville, FL 32212 | 2015-06-11 |
| Find all providers in zip 32212 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336740224 | North Florida Collaborative Therapy | Psychologist | 9652 Morgan Creek Ct, Jacksonville, FL 32222-5808 | 2020-11-05 |
| 1306456058 | Southern Oregon Cbt LLC | Psychologist | 690 G St Ste C, Jacksonville, OR 97530-3208 | 2020-08-07 |
| 1013408004 | Marisa Victoria Byles | Psychologist | 12443 San Jose Blvd Ste 202, Jacksonville, FL 32223-8648 | 2018-05-24 |
| 1306203245 | Robin Jones | Psychologist | 200 Valencia Dr Ste 194, Jacksonville, NC 28546-6311 | 2016-01-22 |
| 1336510452 | Nour Mahmoud Abdelghani | Psychologist | 524 Skymarks Dr Unit 5, Jacksonville, FL 32218-7254 | 2015-10-15 |
| 1295105823 | Mhealthcare Co. | Psychologist | 3805 Valencia Rd, Jacksonville, FL 32205-9271 | 2015-09-24 |
| 1629406400 | Max Aaron Horovitz | Psychologist | 10475 Centurion Pkwy N Ste 301, Jacksonville, FL 32256-5004 | 2013-10-14 |
| 1457786915 | Coral Gaffney | Psychologist | 6488 103rd St., Ste B, Jacksonville, FL 32210 | 2013-09-03 |
| 1801236542 | Jeffrey Allan Rommel | Psychologist | 11150 Castlemain Cir S, Jacksonville, FL 32256-4825 | 2013-06-26 |
| 1326483017 | Amy Melinda Hartley | Psychologist | 8355 Merchants Gate Dr, Jacksonville, FL 32222-5848 | 2013-05-08 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32212 |
Please comment or provide details below to improve the information on DR. MIRANDA GRACE HAMELBERG.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.