DR. MICHAEL A CAMPION (NPI# 1043440290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043440290 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL A CAMPION |
| Credential | PHD |
| Practice Address |
2110 Clearlake Blvd Ste 202 Champaign IL 61822-8933 |
| Practice Telephone | 2173569922 |
| Practice Fax Number | 2173569875 |
| Mailing Telephone | 2173569922 |
| Mailing Fax Number | 2173569875 |
| Enumeration Date | 2009-07-22 |
| Last Update Date | 2009-07-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
071001608 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265404503 | Michael Campion | Ophthalmology | 4921 E Bell Rd Ste 102, Scottsdale, AZ 85254-6002 | 2006-02-02 |
| 1023451929 | Michael James Campion | Physical Therapist | 73 Old Dublin Pike, Suite 6, Doylestown, PA 18901-2491 | 2013-04-10 |
| Street Address |
2110 CLEARLAKE BLVD STE 202 |
| City | CHAMPAIGN |
| State | IL |
| Zip Code | 61822-8933 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932339066 | Anthony Merritt | Social Worker | 2110 Clearlake Blvd Ste 202, Champaign, IL 61822-8933 | 2009-07-23 |
| 1376773531 | Thomas R Campion | Psychologist | 2110 Clearlake Blvd Ste 202, Champaign, IL 61822-8933 | 2009-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083180830 | Osf Multi-specialty Group | Non-Pharmacy Dispensing Site | 2718 N Prospect Avenue, Champaign, IL 61822 | 2018-10-19 |
| 1487129730 | Siegfred T. Celis | Occupational Therapy Assistant | 1820 Oak Park Drive, Champaign, IL 61822 | 2018-10-12 |
| 1134633746 | Osf Healthcare System | Home Health | 1501 Interstate Dr Ste C, Champaign, IL 61822 | 2017-11-20 |
| 1386164200 | Carlo Sandico | Physical Therapist | 612 Corey Lane, Champagne, IL 61822 | 2017-06-21 |
| 1295270288 | Jennifer Lee Lugo | Registered Nurse | 3101 Fields South Dr., Champaign, IL 61822 | 2016-12-29 |
| 1902341209 | Jala Simmons | Behavioral Analyst | 4112 Fieldstone Rd, Suite B, Champaign, IL 61822 | 2016-12-22 |
| 1639552433 | Muhammad Ajmal | Internal Medicine | 1701 Curtis Road, Carle Clinic, Champaign, IL 61822 | 2015-06-30 |
| 1518363761 | Margaret A. Hallden | Hearing Instrument Specialist | 3354 Big Pine Trail #c, Audibel Hearing Aids, Champaign, IL 61822 | 2014-11-17 |
| 1801291638 | Kristen Karlsen | Pharmacist | 3114 Village Office Place, Champaign, IL 61822 | 2014-10-22 |
| 1649601543 | Jeff Chu | Optometrist | 507 W. Town Center Blvd, Champaign, IL 61822 | 2013-12-03 |
| Find all providers in zip 61822 | ||||
| Taxonomy Code | 103TB0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Cognitive & Behavioral |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376773531 | Thomas R Campion | Psychologist | 2110 Clearlake Blvd Ste 202, Champaign, IL 61822-8933 | 2009-07-22 |
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| 1851923759 | Professional Family Solutions | Psychologist | 501 N Riverside Dr Ste 207, Gurnee, IL 60031-5918 | 2020-02-07 |
| 1841830338 | Modern Me Psychology, Inc. | Psychologist | 390 E Devon Ave Ste 201, Roselle, IL 60172-1763 | 2020-01-13 |
| 1326682501 | June Care LLC | Psychologist | 185 S Pleasant Rd, Lake Zurich, IL 60047-2240 | 2019-10-31 |
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| Find all providers with the same taxonomy | ||||
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| 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.