Active NPI
Mary Clare Champion, PHD
- Clinical Psychologist
- Knoxville, TN
National Provider Identifier
1902926736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- P2726
- Practice address
- 2018 Western Avenue
Knoxville, TN 37921 - Phone
- (865) 544-0406
- Fax
- (865) 544-0480
- NPI assigned
- Mar 29, 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 | P2726 | TN | Primary |
Addresses
Primary practice location
2018 Western Avenue
Knoxville, TN 37921
Mailing address
Department 888182
Knoxville, TN 37995-8182
Phone (800) 355-3565
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 |
|---|---|---|---|
| P2726 | TN | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1902926736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "DEPARTMENT 888182",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379958182",
"telephone_number": "800-355-3565",
"fax_number": "423-714-2355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2018 WESTERN AVENUE",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "37921",
"telephone_number": "865-544-0406",
"fax_number": "865-544-0480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAMPION",
"first_name": "MARY",
"middle_name": "CLARE",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TN",
"license": "P2726",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Knoxville, TN
- James Wesley Chamblee, FNP-BC
- Erica Chambless, BSW
- Wally Chami, N/A
- Champion Physical Therapy LLC Halls
- Champion Physical Therapy LLC Halls (CORA Physical Therapy - Halls)
- Cynthia W Chan, R.PH.
- Julia Chance Lee Chance, PTA
- Tessa Batchelor Chancey, LPC-MHSP
- Saroj Chand, LPC-MHSP
- Amy Paulette Chandler, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.