JAMIE RAE CHAMPION (NPI# 1952319394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952319394 |
| Entity Type | Individual |
| Full Name | JAMIE RAE CHAMPION |
| Credential | P.H.D. |
| Practice Address |
2365 E Gala St Suite #2 Meridian ID 83642-4881 |
| Practice Telephone | 2082881920 |
| Practice Fax Number | 2082882844 |
| Mailing Telephone | 2082881920 |
| Mailing Fax Number | 2082882844 |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103G00000X | Clinical Neuropsychologist | PSY-373 | ID | Behavioral Health & Social Service Providers |
| X | 103TC0700X |
Psychologist Specialization: Clinical |
PSY 373 | ID | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760612915 | Jamie Brenda Champion | Physical Therapist | 3625 E. Thousand Oaks Blvd, Suite 102, Westlake Village, CA 91362 | 2009-07-22 |
| 1255573846 | Jamie Elizabeth Champion | Counselor | 108 W Market St, Bloomington, IL 61701-3918 | 2009-03-30 |
| Street Address |
2365 E GALA ST SUITE #2 |
| City | MERIDIAN |
| State | ID |
| Zip Code | 83642-4881 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659542611 | Benjamin J Armstrong | Dentist | 2365 E Gala St, Suite 1, Meridian, ID 83642-4881 | 2008-03-18 |
| 1164563805 | Ratus Pllc | Psychiatry & Neurology | 2365 E Gala St, Suite 2, Meridian, ID 83642-4881 | 2007-02-08 |
| 1144382722 | Ashley Clarence Smith | Dentist | 2365 E Gala St, Ste #1, Meridian, ID 83642-4881 | 2006-12-13 |
| 1437219227 | Psychology Services of Idaho, Pllc | Psychologist | 2365 E Gala St, Suite #2, Meridian, ID 83642-4881 | 2006-12-11 |
| 1982780946 | Jeremy A. Draper | Dentist | 2365 E Gala St, Suite #1, Meridian, ID 83642-4881 | 2006-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174145684 | Ikdo South Meridian LLC | Dentist | 3839 E Amity Rd, Meridian, ID 83642 | 2020-05-07 |
| 1073133328 | Prescription Pad LLC | Pharmacy | 885 S Vanguard Way, Meridian, ID 83642 | 2020-04-16 |
| 1609412683 | Meridian Advanced Psychiatry, LLC | Psychiatry & Neurology | 1672 S Woodsage Ave., Meridan, ID 83642 | 2019-11-25 |
| 1194378927 | Sergey Tsema | Occupational Therapist | 1259 E Pisa St, Meridian, ID 83642 | 2019-07-21 |
| 1003478629 | Chris R Jackson | Dentist | Isu Family Dentistry, 1311 E Central Dr, Meridian, ID 83642 | 2019-07-03 |
| 1285293118 | Morgan Family Medicine | Nurse Practitioner | 1660 S Woodsage Avenue, Meridian, ID 83642 | 2019-06-13 |
| 1033772793 | Nugen Healthcare, Pllc | Registered Nurse | 2177 S Spoonbill Ave, Meridian, ID 83642 | 2019-04-18 |
| 1811471790 | Courtney Crossland | Physician Assistant | 4949 S Hillsdale Ave., Meridian, ID 83642 | 2018-09-18 |
| 1841771938 | Katelyn Perry | Counselor | 2068 S. Eagle Rd., Meridian, ID 83642 | 2018-08-27 |
| 1114406204 | Gem Prep: Meridian LLC | Case Management | 2750 E.gala Ct., Meridian, ID 83642 | 2018-08-09 |
| Find all providers in zip 83642 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568766566 | Northwest Neurobehavioral Health, LLC | Clinical Neuropsychologist | 2950 E Magic View Dr Ste 140, Meridian, ID 83642-9273 | 2011-01-05 |
| 1053348441 | Clay Herold Ward | Clinical Neuropsychologist | 3061 S Meridian Rd, Suite 150, Meridian, ID 83642-7962 | 2006-06-28 |
| 1538412382 | Jason Southwick | Clinical Neuropsychologist | 3061 S Meridian Rd, Ste 100, Meridian, ID 83642-7962 | 2012-10-17 |
| 1467670653 | Tyler T Whitney | Clinical Neuropsychologist | 2273 E Gala St, Suite 120, Meridian, ID 83642-7289 | 2007-04-23 |
| 1982734984 | Melody L Snider | Clinical Neuropsychologist | 2498 N Stokesberry Pl, Suite 150, Meridian, ID 83646-5150 | 2007-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033723713 | Melinda Michelle Rojas-toto | Clinical Neuropsychologist | 10420 N Emig Ave, Hayden, ID 83835-7204 | 2020-09-01 |
| 1649638206 | Richard B Cluff | Clinical Neuropsychologist | 631 Vale Ln, Rexburg, ID 83440-1671 | 2016-02-10 |
| 1912112277 | Lorilee Critchfield | Clinical Neuropsychologist | 488 Blue Lakes Blvd N Ste 106, Twin Falls, ID 83301-4882 | 2007-05-11 |
| 1295954485 | Saint Alphonsus Regional Medical Center Inc | Clinical Neuropsychologist | 717 N Liberty St, Boise, ID 83704-9342 | 2007-04-25 |
| 1952443640 | Christine Pickford | Clinical Neuropsychologist | 1104 N 18th St, Boise, ID 83702-3321 | 2007-02-12 |
| 1225176498 | Craig W. Beaver | Clinical Neuropsychologist | 250 Bobwhite Ct Ste 220, Boise, ID 83706-3983 | 2007-02-01 |
| 1831282847 | Daniel S Hayes 401k | Clinical Neuropsychologist | 2190 W Ironwood Center Dr Ste 2, Coeur D Alene, ID 83814-2695 | 2006-10-02 |
| 1902906209 | Steven L. Ater | Clinical Neuropsychologist | 500 S. 11th St., Portneuf Medical Center, Pocatello, ID 83201 | 2006-09-25 |
| 1326008053 | David E Nilsson | Clinical Neuropsychologist | 2537 W. State St., Suite 210, Boise, ID 83702 | 2006-03-25 |
| 1801870050 | John A Wolfe | Clinical Neuropsychologist | 296 W. Sunset Ave, Ste 15, Coeur D'alene, ID 83815-8366 | 2005-12-01 |
| 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.