Active NPI
Camille Michelle Laudicina, PSY.D.
- Clinical Psychologist
- Billings, MT
National Provider Identifier
1639294333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 389
- Practice address
- 123 S 27TH St
Billings, MT 59101-4200 - Phone
- (406) 247-3369
- NPI assigned
- Mar 20, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 389 | MT | Primary |
Addresses
Primary practice location
123 S 27TH St
Billings, MT 59101-4200
Mailing address
123 S 27TH St
Billings, MT 59101-4200
Phone (406) 247-3369
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 1, 2021 through Jul 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4604 | NC | MD | Professional Counselor |
| 389 | MT | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350864000000",
"number": "1639294333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 S 27TH ST",
"city": "BILLINGS",
"state": "MT",
"postal_code": "591014200",
"telephone_number": "406-247-3369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 S 27TH ST",
"city": "BILLINGS",
"state": "MT",
"postal_code": "591014200",
"telephone_number": "406-247-3369"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAUDICINA",
"first_name": "CAMILLE",
"middle_name": "MICHELLE",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-20",
"last_updated": "2012-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MT",
"license": "389",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Billings, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2012; 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.