JAMIE RAE CHAMPION P.H.D. NPI 1952319394

NPI Information

NPI: 1952319394
Provider Name: JAMIE RAE CHAMPION, P.H.D.
Classification: Clinical Neuropsychologist - 103G00000X
Entity Type: Individual
Address:
2365 E GALA ST
SUITE #2
MERIDIAN, ID
ZIP 83642
Phone: (208) 288-1920
Get Directions

Jamie Rae Champion, P.H.D. is a clinical neuropsychologist in Meridian, ID. The provider is a clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. Jamie Rae Champion, P.H.D. NPI is 1952319394. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2365 E GALA ST
SUITE #2
MERIDIAN, ID
ZIP 83642-881
Phone: (208) 288-1920
Fax: (208) 288-2844

The enumeration date for this NPI number is 8/3/2006 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103G00000X	Clinical Neuropsychologist		PSY-373	IDAHO	Yes
2	103TC0700X	Psychologist	Clinical	PSY 373	IDAHO	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	N5186	MEDICARE UPIN	IDAHO
2	1681192	MEDICARE ID-TYPE UNSPECIFIED	IDAHO	JAMIE CHAMPION PH.D.
3	00001007719	MEDICARE UPIN	IDAHO
4	7503219	MEDICARE UPIN	IDAHO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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