NPIMap

Organization Active NPI

Academic Solutions of Michiana

  • Clinical Neuropsychologist
  • South Bend, IN
National Provider Identifier
1013290675
Registry record updated Sep 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
20042517A Issued in IN
Legal business name
ACADEMIC SOLUTIONS OF MICHIANA
Practice address
2012 Ironwood Cir
South Bend, IN 46635-1888
Phone
(574) 273-2743
Fax
(574) 273-2746
NPI assigned
Sep 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Donna Turner-Campbell, PHD
Title
Executive Director
Phone
(574) 272-2743

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103G00000X 20042517A IN Primary

Addresses

Primary practice location

2012 Ironwood Cir
South Bend, IN 46635-1888

Mailing address

2012 Ironwood Cir
South Bend, IN 46635-1888
Phone (574) 273-2743

Other names 1

  • StepWise Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Academic Solutions of Michiana3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1316563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316563200000",
    "number": "1013290675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2012 IRONWOOD CIR",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466351888",
            "telephone_number": "574-273-2743",
            "fax_number": "574-273-2746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2012 IRONWOOD CIR",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466351888",
            "telephone_number": "574-273-2743",
            "fax_number": "574-273-2746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACADEMIC SOLUTIONS OF MICHIANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-21",
        "last_updated": "2011-09-21",
        "status": "A",
        "authorized_official_last_name": "TURNER-CAMPBELL",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "574-272-2743",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "IN",
            "license": "20042517A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "StepWise",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in South Bend, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.