Andrew Edward Cameron, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3273-57 Issued in WI

Practice address

530 Grant St
Wausau, WI 54403-4738

Phone

(715) 845-5493

Fax

(715) 848-5645

NPI assigned

Nov 18, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 14, 2024 through Jan 14, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Compass Counseling Wausau, LLC

  • Group Psychotherapy Psychologist
  • Weston, WI
  • NPI 1720387095
  NPD (past)

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

{
    "created_epoch": "1258502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440633600000",
    "number": "1598093221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1702",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544021702",
            "telephone_number": "715-845-5493",
            "fax_number": "715-848-5645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 GRANT ST",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544034738",
            "telephone_number": "715-845-5493",
            "fax_number": "715-848-5645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMERON",
        "first_name": "ANDREW",
        "middle_name": "EDWARD",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-11-18",
        "last_updated": "2015-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "4311-125",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WI",
            "license": "3273-57",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Cahak, LPN
• Shannon Amber Callahan, RN
• Anna Calloway, PT, DPT, CSCS
• Ireland Calo, MS, LPC-IT
• Seth P Calonder, CRNA
• Elizabeth S Cameron, APSW
• Audrey Campbell
• Latanya Campbell, MS LPC NBCC
• Mary P. Campbell, RN
• Victoria Cannella, RN

• Clinical Psychologist in Wausau, WI
• Providers in Wausau, WI by specialty
• Clinical Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.