Active NPI
Camilla Ann Madden, PH.D.
- Psychologist
- Anchorage, AK
National Provider Identifier
1194731315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 384
- Practice address
- 15301 Elmore Rd
Anchorage, AK 99516-4164 - Phone
- (907) 257-4857
- NPI assigned
- Jul 31, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 384 | SD | Primary |
Addresses
Primary practice location
15301 Elmore Rd
Anchorage, AK 99516-4164
Mailing address
15301 Elmore Rd
Anchorage, AK 99516-4164
Phone (907) 257-4857
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 384 | SD | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1243987200000",
"number": "1194731315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15301 ELMORE RD",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995164164",
"telephone_number": "907-257-4857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15301 ELMORE RD",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995164164",
"telephone_number": "907-257-4857"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADDEN",
"first_name": "CAMILLA",
"middle_name": "ANN",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-31",
"last_updated": "2009-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "SD",
"license": "384",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.