SAM R. HAMBURG, PH.D., P.C.
NPI 1063157865
Clinic/Center - Adult Mental Health in Chicago, IL

Active since May 05, 2022
8 S MICHIGAN AVE STE 1507, CHICAGO, IL 60603(312) 485-0161 Get Directions Write a Review

NPPES record last updated: May 5, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Sam R. Hamburg, Ph.d., P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAM R. HAMBURG, PH.D., P.C. (NPI 1063157865) is a healthcare organization registered as an adult mental health in Chicago, Illinois and active in the NPI registry since May 2022. The organization lists Samuel Ralph Hamburg, President, as its authorized official.

NPPES Registry Identity

NPI1063157865
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameSAM R. HAMBURG, PH.D., P.C.
Location Address8 S MICHIGAN AVE STE 1507Chicago, IL 60603-3364
Mailing Address8 S Michigan Ave Ste 1507Chicago, IL 60603-3364 · (312) 485-0161
Organization SubpartNo
Authorized OfficialSamuel Ralph HamburgPresident · (312) 485-0161
Enumeration DateMay 5, 2022
NPPES CertifiedMay 5, 2022
✔ NPI 1063157865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
8 S MICHIGAN AVE STE 1507, Chicago, IL 60603

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sam R. Hamburg, Ph.d., P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Sam R. Hamburg, Ph.D., P.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Psychologist
NPI 1164538179
79 W MONROE ST SUITE 1311
Chicago, IL 60603
(312) 251-1405
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sam R. Hamburg, Ph.D., P.C.'s NPI number?

The NPI number for Sam R. Hamburg, Ph.D., P.C. is 1063157865. It was assigned to this organization in the NPPES registry on May 5, 2022.

Where is Sam R. Hamburg, Ph.D., P.C. located?

Sam R. Hamburg, Ph.D., P.C. is located at 8 S Michigan Ave Ste 1507, Chicago, IL 60603. The listed phone number is (312) 485-0161.

What is Sam R. Hamburg, Ph.D., P.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

Is Sam R. Hamburg, Ph.D., P.C. enrolled in Medicare?

Yes. Sam R. Hamburg, Ph.D., P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sam R. Hamburg, Ph.D., P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Sam R. Hamburg, Ph.D., P.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Sam R. Hamburg, Ph.D., P.C. was last updated on May 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.