CHAMPION PSYCHOLOGICAL SERVICES, LLC (NPI# 1245854272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245854272 |
| Entity Type | Organization |
| Organization Name | CHAMPION PSYCHOLOGICAL SERVICES, LLC |
| Practice Address |
17 Bradford Ave Apt 13 Trenton NJ 08610-3107 |
| Mailing Address |
P.o. Box 2623 Mercerville NJ 08619-9998 |
| Practice Telephone | 6096387560 |
| Mailing Telephone | 6096387560 |
| Enumeration Date | 2020-06-05 |
| Last Update Date | 2020-06-05 |
| Authorized Official Name | CARMEN LYNN HODGES (OWNER) |
| Authorized Official Telephone | 6096387560 |
| Authorized Official Credential | PSYD, LCADC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| Street Address |
17 BRADFORD AVE APT 13 |
| City | TRENTON |
| State | NJ |
| Zip Code | 08610-3107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275967762 | Carmen Lynn Hodges | Counselor | 17 Bradford Ave Apt 13, Trenton, NJ 08610-3107 | 2013-09-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710486766 | Merakey New Jersey | Community/Behavioral Health | 216 Borden Ave, Hamilton, NJ 08610 | 2018-02-06 |
| 1740641315 | Christiana Adiyiah Manu | Nurse Practitioner | 445 White Horse Ave Suit 202, Hamilton, NJ 08610 | 2016-03-10 |
| 1306226121 | Clinton Rebello | Military Health Care Provider | Mcguire Afb, Apo, AA 08610 | 2015-06-06 |
| 1780932848 | Lindsay Helen Hutchinson | Social Worker | 311 White Horse Ave Ste C, Hamilton, NJ 08610 | 2012-08-21 |
| 1366745176 | Family Care Physicians, LLC | Pediatrics | 445 Whitehorse Ave., Suites 100-101, Hamilton, NJ 08610 | 2010-12-16 |
| 1134454200 | Anna Marie Cesnik | Occupational Therapist | 1900 Arena Drive, Hamilton, NJ 08610 | 2009-10-07 |
| 1003014663 | South Broad Street Counseling Services Inc | Clinic/Center | 1418 South Broad Street, Trenton, NJ 08610 | 2007-07-05 |
| 1235341371 | Liberty Healthcare Services | Home Health | 1603 South Broad Street, Hamilton, NJ 08610 | 2007-05-03 |
| 1841312055 | Ziad Hadaya | Internal Medicine | 994 Whitehorse Ave, Hamilton, NJ 08610 | 2007-04-06 |
| 1487704193 | Marion Levy Bergman | Social Worker | 89 Marshall Ave, Hamilton, NJ 08610 | 2007-01-12 |
| Find all providers in zip 08610 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205282571 | Lindsay Oram | Psychologist | 616 Nw Highway 146, Trenton, MO 64683-7501 | 2016-05-05 |
| 1114241585 | John Shafer | Psychologist | 1660 Fort St, Trenton, MI 48183 | 2010-03-15 |
| 1104947795 | Robert Dewitt Lewis Jr. | Psychologist | 320 W State St, Trenton, NJ 08618-5704 | 2007-04-02 |
| 1265559702 | Akbolton Pllc | Psychologist | 2242 W Jefferson Ave Ste A, Trenton, MI 48183-2275 | 2007-03-22 |
| 1881614386 | Ellen R. Fink, Psy.d., P.C. | Psychologist | 363 Hamilton Ave, Trenton, NJ 08609-2716 | 2006-07-20 |
| 1245878685 | Rachel Dianne Kern | Psychologist | 1660 Fort St, Trenton, MI 48183-2003 | 2019-12-17 |
| 1316463680 | Luis Raul Nieves | Psychologist | 1301 Whitehorse Mercerville Rd, Trenton, NJ 08619-3826 | 2017-08-18 |
| 1083017032 | Matthew D Schmitt | Psychologist | 3458 Neely Rd, Trenton, NJ 08641-5312 | 2014-10-06 |
| 1841533213 | Gina Marie Dematteo | Psychologist | 1660 Fort St, Trenton, MI 48183 | 2013-04-03 |
| 1275784621 | Courtney Elyse Cummings | Psychologist | 13570 N Main St, Trenton, GA 30752-2012 | 2008-10-03 |
| Find all providers in TRENTON | ||||
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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.