Kim P Champion, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

B1-0000568 Issued in DE

Practice address

8 Polly Drummond Hill Rd
Newark, DE 19711-5703

Phone

(302) 738-6859

Fax

(302) 368-5309

NPI assigned

Dec 12, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2016 through Jan 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pike Creek Psychological Center

  • Psychologist
  • Newark, DE
  • NPI 1255407698
  NPD (past)

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1104987569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 POLLY DRUMMOND HILL RD",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197115703",
            "telephone_number": "302-738-6859",
            "fax_number": "302-368-5309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 POLLY DRUMMOND HILL RD",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197115703",
            "telephone_number": "302-738-6859",
            "fax_number": "302-368-5309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMPION",
        "first_name": "KIM",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "DE",
            "license": "B1-0000568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Varun Chahal, DO
• Jennifer Chalmers, MS, ATC, LAT
• Alyson Leigh Chambers, PA-C
• Bonnie Chambers
• Champion DME, LLC
• Jemimah Chan
• Katherine Chan, PA-C
• Catherine Chance
• Avinash Chandra
• Lawrence D Chang, M.D.

• Psychologist in Newark, DE
• Providers in Newark, DE by specialty
• Psychologist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.