Healthcare Provider Details

I. General information

NPI: 1821445412
Provider Name (Legal Business Name): CHRISTOPHER SINCLAIR BARNET HAMMEL MD, MPH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/24/2016
Last Update Date: 11/30/2021
Certification Date: 11/30/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

674 PROSPECT AVE STE 5
HARTFORD CT
06105-4288
US

IV. Provider business mailing address

674 PROSPECT AVE STE 5
HARTFORD CT
06105-4288
US

V. Phone/Fax

Practice location:
  • Phone: 860-773-0808
  • Fax: 860-600-7943
Mailing address:
  • Phone: 860-773-0808
  • Fax: 860-600-7943

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number057501
License Number StateCT
# 3
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number62103
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: