Individual provider Active NPI

Camille Ann Hood, PH.D.

  • Clinical Psychologist
  • Battle Creek, MI
National Provider Identifier
1912084310
Registry record updated Jul 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301012986 Issued in MI
Practice address
491 Columbia Ave E Ste 4
Battle Creek, MI 49014-5468
Phone
(269) 962-9611
Fax
(269) 962-9612
NPI assigned
Nov 1, 2006
Last updated
Jul 14, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 4101006336 MI
Clinical Psychologist 103TC0700X 6301012986 MI Primary

Addresses

Primary practice location

491 Columbia Ave E Ste 4
Battle Creek, MI 49014-5468

Mailing address

491 Columbia Ave E Ste 4
Battle Creek, MI 49014-5468
Phone (269) 962-9611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080929000403 MI Practitioner - Clinical Psychologist 4385711654 Receives reassigned benefits from 4 practitioners
Practice locations: Battle Creek, MI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Michigan State University College of Human Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

491 Columbia E Ave
Suite 4
Battle Creek, MI 49014-5468
Phone (269) 962-9611

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6301012986MIMDClinical Psychologist
4101006336MIMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jacqueline Pyle CurrentSince Mar 1, 2008 Accepting new patients
Avalon Behavioral Health, PLC Psychologist CurrentSince Mar 1, 2008 Accepting new patients

Locations

491 Columbia Ave E
Ste 4
Battle Creek, MI 49014
Phone (269) 962-9611

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594684800000",
    "number": "1912084310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "491 COLUMBIA AVE E STE 4",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490145468",
            "telephone_number": "269-962-9611",
            "fax_number": "269-962-9612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "491 COLUMBIA AVE E STE 4",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490145468",
            "telephone_number": "269-962-9611",
            "fax_number": "269-962-9612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOD",
        "first_name": "CAMILLE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MI",
            "license": "4101006336",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301012986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Battle Creek, MI

Sources for this page

Verify at the official NPI Registry.