Active NPI
Thomas R Campion, PHD
- Cognitive & Behavioral Psychologist
- Champaign, IL
National Provider Identifier
1376773531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cognitive & Behavioral Psychologist
- License
- 180004091
- Practice address
- 2110 Clearlake Blvd Ste 202
Champaign, IL 61822-8933 - Phone
- (217) 356-9922
- Fax
- (217) 356-9875
- NPI assigned
- Jul 22, 2009
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | 180004091 | IL | Primary |
Addresses
Primary practice location
2110 Clearlake Blvd Ste 202
Champaign, IL 61822-8933
Mailing address
2110 Clearlake Blvd Ste 202
Champaign, IL 61822-8933
Phone (217) 356-9922
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 |
|---|---|---|---|
| 180004091 | IL | MD | Cognitive & Behavioral Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Campion, Barrow and Associates | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Counselor
- Champaign, IL
- NPI 1972662997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248220800000",
"number": "1376773531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2110 CLEARLAKE BLVD STE 202",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "618228933",
"telephone_number": "217-356-9922",
"fax_number": "217-356-9875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2110 CLEARLAKE BLVD STE 202",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "618228933",
"telephone_number": "217-356-9922",
"fax_number": "217-356-9875"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPION",
"first_name": "THOMAS",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-22",
"last_updated": "2009-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "IL",
"license": "180004091",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Champaign, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.