NPIMap

Organization Active NPI

Academic Solutions of Michiana, Inc

  • Psychologist
  • South Bend, IN
National Provider Identifier
1144498353
Registry record updated Aug 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
ACADEMIC SOLUTIONS OF MICHIANA, INC
Practice address
2012 Ironwood Circle
South Bend, IN 46635-1888
Phone
(574) 273-2743
Fax
(574) 273-2746
NPI assigned
Feb 11, 2008
Last updated
Aug 21, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2009

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

Authorized official

Name
Dr. Donna T Campbell, PHD, ABSNP
Title
Executive Diretor
Phone
(574) 273-2743

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X NU Primary

Addresses

Primary practice location

2012 Ironwood Circle
South Bend, IN 46635-1888

Mailing address

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

Other names 1

  • StepWise Other name

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.

Locations

2012 Ironwood Cir
South Bend, IN 46635
Phone (219) 271-0268

NPI Registry JSON

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

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250812800000",
    "number": "1144498353",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2012 IRONWOOD CIRCLE",
            "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, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-11",
        "last_updated": "2009-08-21",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "EXECUTIVE DIRETOR",
        "authorized_official_telephone_number": "574-273-2743",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, ABSNP"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "StepWise",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Aug 21, 2009; 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.