Active NPI
Claire Camp
- Clinical Psychologist
- Flagstaff, AZ
National Provider Identifier
1316296650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 005481
- Practice address
- 1600 W University Ave Ste 202
Flagstaff, AZ 86001-3154 - Phone
- (707) 235-8286
- Fax
- (877) 775-3294
- NPI assigned
- Aug 31, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 005481 | AZ | Primary |
| Clinical Psychologist | 103TC0700X | 8791112-2501 | UT |
Addresses
Primary practice location
1600 W University Ave Ste 202
Flagstaff, AZ 86001-3154
Mailing address
2230 N Ricke LN
Flagstaff, AZ 86004-7184
Phone (707) 235-8286
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005481 | AZ | MD | Clinical Psychologist |
| 8791112-2501 | UT | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720137600000",
"number": "1316296650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2230 N RICKE LN",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860047184",
"telephone_number": "707-235-8286",
"fax_number": "877-775-3294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 W UNIVERSITY AVE STE 202",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860013154",
"telephone_number": "707-235-8286",
"fax_number": "877-775-3294"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMP",
"first_name": "CLAIRE",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-31",
"last_updated": "2024-07-05",
"certification_date": "2024-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "AZ",
"license": "005481",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "UT",
"license": "8791112-2501",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flagstaff, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.