MICHAEL CHAMPION


Address: Pmg Kaseman Behavioral Medicine, 1325 Wyoming Ne, Albuquerque, NM 87112
Phone: 5052915300

MICHAEL CHAMPION (NPI# 1396839767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396839767
Entity Type Individual
Full Name MICHAEL CHAMPION
Credential MD
Practice Address Pmg Kaseman Behavioral Medicine
1325 Wyoming Ne
Albuquerque
NM 87112
Mailing Address Po Box 26666
Phs Provider Enrollment
Albuquerque
NM 87125-6666
Practice Telephone 5052915300
Practice Fax Number 5052915303
Mailing Telephone 5059235356
Mailing Fax Number 5059235354
Enumeration Date 2006-10-03
Last Update Date 2009-03-18
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084P0800X Psychiatry & Neurology
Specialization: Psychiatry
MD2005-0045 NM Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NM 41973836 05

Other Providers MICHAEL CHAMPION

NPI Name Taxonomy Address Enumeration
1558364018 Michael Edward Champion Physician Assistant 1322 Walkers Way, San Antonio, TX 78216-7709 2005-05-27

Office Location

Street Address PMG KASEMAN BEHAVIORAL MEDICINE
1325 WYOMING NE
City ALBUQUERQUE
State NM
Zip Code 87112

Providers in the same location

NPI Name Taxonomy Address Enumeration
1215944277 Irene E. Ortiz Family Medicine Pmg Kaseman Behavioral Medicine, 1325 Wyoming Ne, Albuquerque, NM 87112 2006-08-02
1255457156 Claire E Logan Psychologist Pmg Kaseman Behavioral Medicine, 1325 Wyoming Ne, Albuquerque, NM 87112 2007-03-22
1134268147 Nils Rosenbaum Psychiatry & Neurology Pmg Kaseman Behavioral Medicine, 1325 Wyoming Ne, Albuquerque, NM 87112 2007-02-06
1972614873 Josephine T Trujillo Social Worker Pmg Kaseman Behavioral Medicine, 1325 Wyoming Ne, Albuquerque, NM 87112 2006-08-31
1629187943 Gail A Bell Surgery Pmg Kaseman Behavioral Medicine, 1325 Wyoming Ne, Albuquerque, NM 87112 2006-08-30
1891804126 Jeanne Pierrot Psychologist Pmg Kaseman Behavioral Medicine, 1325 Wyoming Ne, Albuquerque, NM 87112 2006-08-30
1083723308 Mary Miesem Psychologist Pmg Kaseman Behavioral Medicine, 1325 Wyoming Ne, Albuquerque, NM 87112 2006-08-30

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356999411 Lynn Eileen Riley Counselor 10205 Stovall Pl Ne, Albuquerque, NM 87112 2019-08-30
1548818222 Cindy D Montoya Technician 11405 Snow Heights Blvd Ne, Albuquerque, NM 87112 2019-08-27
1194387449 Karen Sue Stockham Counselor 9024 Aspen Ave Ne, Albuquerque, NM 87112 2019-07-07
1316416837 New Beginning Counseling Services Inc Counselor 2617 Juan Tabo Blvd Ne Unit A/d, Albuquerque, NM 87112 2018-11-14
1306365929 Calyx Institute LLC Social Worker 10701 Lomas Blvd Ne, Ste. 101, Albuquerque, NM 87112 2017-09-14
1811411135 Annette Romero Case Manager/Care Coordinator 9741 Candelaria, Albuquerque, NM 87112 2017-07-28
1851814784 Ally Renee Funkhouser Dye Pediatrics 2130 Eubank Blvd Ne, Albuquerque, NM 87112 2017-07-23
1508303140 Makena Bailey Nash Behavior Technician 12801 Indian School Ne Apt 508, Albuquerque, NM 87112 2017-01-20
1477978906 Albert R Toya Massage Therapist 2601 Wyoming Blvd N.e. Room 115-c, Albuquerque, NM 87112 2014-02-20
1184918104 Jennifer E Chavez Counselor 1505 Marron Circle Ne, Albuquerque, NM 87112 2011-06-07
Find all providers in zip 87112

Taxonomy Information

Taxonomy Code 2084P0800X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Psychiatry

Taxonomy Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1982219499 Chrysalis Healthcare LLC Psychiatry & Neurology 2632 Mesilla St Ne Ste 6, Albuquerque, NM 87110-3614 2020-09-11
1922646595 Psychogenesis LLC Psychiatry & Neurology 3900 Eubank Blvd Ne Ste 18, Albuquerque, NM 87111-3427 2019-12-14
1134515737 Amanda S Valone Psychiatry & Neurology 1501 San Pedro Dr Se Rm 145, Albuquerque, NM 87108-5180 2015-04-09
1932514288 Christine M Clark Psychiatry & Neurology 1 University of New Mexico # 95030, Albuquerque, NM 87131-0001 2014-06-25
1790105369 Monique Elise Ethne Simpson Psychiatry & Neurology 320 Gold Ave Sw Ste 1001, Albuquerque, NM 87102-3228 2014-04-22
1386083368 Jeannette Elizabeth Ferguson Psychiatry & Neurology Child Psychiatric Center 1001 Yale Blvd Ne, Albuquerque, NM 87131 2013-06-23
1245573476 Dyani Loo Psychiatry & Neurology Msc 09 5030 University of New Mexico, Albuquerque, NM 87131 2013-04-06
1346528866 Christie Anne Cline Psychiatry & Neurology 8905 Osuna Rd Ne, Albuquerque, NM 87111-2139 2011-08-01
1083904023 Nina E Higgins Psychiatry & Neurology Msc 09 5030 1 University of New Mexico, Albuquerque, NM 87131 2011-04-11
1003111873 Melissa A Merhege Psychiatry & Neurology 500 Walter St Ne Ste 213, Albuquerque, NM 87102 2011-01-25
Find all providers in ALBUQUERQUE

Competitor

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City ALBUQUERQUE
Zip Code 87112

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Dataset Information

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.

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