Gary Champlin, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS-002800-L Issued in PA

Practice address

2032 Lincoln CT
Wyomissing, PA 19610-2656

Phone

(610) 777-5459

Fax

(610) 777-2415

NPI assigned

Feb 15, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wyomissing Behavior Analysts, LTD.

  • Clinical Psychologist
  • Wyomissing, PA
  • NPI 1528055811
  Authorized official Same address or phone

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204070400000",
    "number": "1518000520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2032 LINCOLN CT",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196102656",
            "telephone_number": "610-777-5459",
            "fax_number": "610-777-2415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2032 LINCOLN CT",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196102656",
            "telephone_number": "610-777-5459",
            "fax_number": "610-777-2415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMPLIN",
        "first_name": "GARY",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-15",
        "last_updated": "2008-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS-002800-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Cerniglia, LPC, CPRP
• Carl Cesarz, M.S., N.C.C., L.P.C.
• Kerri Chabin
• Vinod Chacko, M.D.
• Houssam Chahrour
• Cherise A Charite
• Dashmire Charles
• Edward Chastka, M,D.
• Martin D Cheatle, PHD
• Rebecca Chellquist, MA, LPC

• Clinical Psychologist in Wyomissing, PA
• Providers in Wyomissing, PA by specialty
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2008; 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.