JACQUELINE CAMP (NPI# 1336415637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336415637 |
| Entity Type | Individual |
| Full Name | JACQUELINE CAMP |
| Other Name | JACKIE CAMP |
| Credential | PH.D. |
| Practice Address |
1904 W. Royale Dr. Muncie IN 47304-2664 |
| Practice Telephone | 7652840043 |
| Practice Fax Number | 7652844112 |
| Mailing Telephone | 7652840043 |
| Mailing Fax Number | 7562844112 |
| Enumeration Date | 2012-03-30 |
| Last Update Date | 2014-01-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 20042737A | IN | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
20042737A | IN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316287253 | Jacqueline H Camp | Registered Nurse | 405 W Washington St, Dillon, SC 29536-2855 | 2013-02-28 |
| Street Address |
1904 W. ROYALE DR. |
| City | MUNCIE |
| State | IN |
| Zip Code | 47304-2664 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417953670 | Jodi Lynn Nixon | Psychologist | 1904 W. Royale Dr., Muncie, IN 47304-2664 | 2005-06-22 |
| 1235516667 | Brian Hart | Counselor | 1904 W. Royale Dr., Muncie, IN 47304-2264 | 2015-05-06 |
| 1306156047 | Kali Jo Wolken | Counselor | 1904 W. Royale Dr., Muncie, IN 47304-2664 | 2010-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821627191 | Free To Flourish Counseling and Consulting | Marriage & Family Therapist | 4304 W Coyote Run Court, Muncie, IN 47304 | 2020-04-07 |
| 1205477957 | Muncie Treatment Center, LLC | Clinic/Center | 3640 Briarwood Lane, Muncie, IN 47304 | 2019-10-03 |
| 1508415225 | Susanna Florence Nalliah I | Pharmacist | Iu Health Ball Memorial Hospital Inpatient Pharmacy, 2401 W. University Ave, Muncie, IN 47304 | 2019-09-05 |
| 1235624289 | Kregg Koons O.d., Inc. | Optometrist | 3300 Purdue Ave., Muncie, IN 47304 | 2018-06-22 |
| 1013409242 | Julia Powers | Social Worker | 8425 W Ashford Ln, Muncie, IN 47304 | 2018-06-04 |
| 1851803456 | Dianna Marie Johnson | Nurse Practitioner | 3411 N Briarwood Ln, Muncie, IN 47304 | 2017-11-04 |
| 1780082917 | Quad Med LLC | Clinic/Center | 3800 West Kilgore Ave, Muncie, IN 47304 | 2014-12-22 |
| 1629418173 | Mark Allen Wise | Physical Therapist | 3607 N Everbrook Lane, Muncie, IN 47304 | 2013-06-28 |
| 1396094280 | Planned Parenthood of Indiana Muncie | Clinic/Center | 3550 W. Fox Ridge Lane, Muncie, IN 47304 | 2012-09-06 |
| 1043595655 | Olukayode Bamidele | Physical Therapist | 3601 W. Moore Road, Muncie, IN 47304 | 2011-10-14 |
| Find all providers in zip 47304 | ||||
| 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 |
|---|---|---|---|---|
| 1699893883 | Beth A. Trammell | Psychologist | 1904 W Royale Dr, Muncie, IN 47304-2264 | 2007-03-26 |
| 1851421929 | Integral Health Psychology Services, PC | Psychologist | 605 S Miramar Way, Muncie, IN 47304-6723 | 2007-03-06 |
| 1275684508 | Paul Manfred Spengler | Psychologist | 1945 W Royale Dr, Muncie, IN 47304-2265 | 2007-01-15 |
| 1932279643 | E Caroline Curlin | Psychologist | 526 N Martin Ave, Muncie, IN 47303-3537 | 2006-11-09 |
| 1619064359 | Cheryl A. Peresie | Psychologist | 2205 N Wheeling Avenue, Muncie, IN 47303 | 2006-10-06 |
| 1992736136 | Robin Margaret Lett | Psychologist | 1904 W. Royale Drive, Muncie, IN 47304-2264 | 2006-07-05 |
| 1003886524 | Robert E Hayes | Psychologist | 3111 W Jackson St, Muncie, IN 47304-4371 | 2006-01-26 |
| 1386250462 | Kalyn M Gebhardt | Psychologist | 3700 W Kilgore Ave, Muncie, IN 47304-4810 | 2020-09-23 |
| 1740895887 | Stephen Matteson | Psychologist | 2525 W University Ave Ste 401, Muncie, IN 47303-3433 | 2020-09-15 |
| 1073178711 | Molly Tschopp | Psychologist | 3645 N Briarwood Ln, Muncie, IN 47304-5214 | 2019-05-08 |
| Find all providers in MUNCIE | ||||
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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.