Individual provider Active NPI

Camille Chapline, PSY.D., LMFT

  • Marriage & Family Therapist
  • Oceanside, CA
National Provider Identifier
1265683486
Registry record updated Oct 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC45114 Issued in CA
Practice address
2181 S El Camino Real
Suite 201
Oceanside, CA 92054-6220
Phone
(760) 994-7521
Fax
(760) 231-6383
NPI assigned
Oct 7, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X ASSOCIATES DEGREE CA
Marriage & Family Therapist 106H00000X MFC45114 CA Primary

Addresses

Primary practice location

2181 S El Camino Real
Suite 201
Oceanside, CA 92054-6220

Mailing address

2181 S El Camino Real
Suite 201
Oceanside, CA 92054-6220
Phone (760) 994-7521

Other names 1

  • Susan Annette Stevenson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240906000131 CA Practitioner - Marriage and Family Therapist 9931649837 Practice locations: Oceanside, CA

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
National University of Arts and Sciences, Medical Department, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

200 N El Camino Real
SPC 378
Oceanside, CA 92058-1796
Phone (760) 994-7521

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ASSOCIATES DEGREECAMDAddiction (Substance Use Disorder) Counselor
MFC45114CAMDMarriage & Family Therapist
45114CAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223337600000",
    "number": "1265683486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2181 S EL CAMINO REAL",
            "address_2": "SUITE 201",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920546220",
            "telephone_number": "760-994-7521",
            "fax_number": "760-231-6383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2181 S EL CAMINO REAL",
            "address_2": "SUITE 201",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920546220",
            "telephone_number": "760-994-7521",
            "fax_number": "760-231-6383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAPLINE",
        "first_name": "CAMILLE",
        "credential": "PSY.D., LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-07",
        "last_updated": "2008-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "ASSOCIATES DEGREE",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC45114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "STEVENSON",
            "middle_name": "ANNETTE",
            "credential": "N/A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oceanside, CA

Sources for this page

Verify at the official NPI Registry.