William Lyman Camp Jr., PH.D.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

09 Issued in WI

Practice address

923 Edwin St
Marinette, WI 54143-4046

Phone

(715) 735-5550

Fax

(715) 735-0207

NPI assigned

Oct 26, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

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

Specialty

Clinical Psychologist

Education

Other, 1968

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932284064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "923 EDWIN ST",
            "city": "MARINETTE",
            "state": "WI",
            "postal_code": "541434046",
            "telephone_number": "715-735-5550",
            "fax_number": "715-735-0207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "923 EDWIN ST",
            "city": "MARINETTE",
            "state": "WI",
            "postal_code": "541434046",
            "telephone_number": "715-735-5550",
            "fax_number": "715-735-0207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMP",
        "first_name": "WILLIAM",
        "middle_name": "LYMAN",
        "name_suffix": "Jr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "WI",
            "license": "09",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39059600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Bush
• Derek J Butler, LAT, ATC
• Katheryn A Button, PT
• Lynn M Caelwaerts, COTA
• Katherine Margaret Callies, APNP
• Stephanie Carlson-Ballone, OTR/L
• Misty M Carriveau, OTR
• Peter D Carriveau, PHYSICAL THERAPY AST
• Stephen C Caselton, MD
• Brian Ceranski, CRNA

• Counseling Psychologist in Marinette, WI
• Providers in Marinette, WI by specialty
• Counseling Psychologist in Wisconsin

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.