Sylvia Elaine Ashley-Cameron, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

LP1391 Issued in MN

Practice address

220 E Main Street
Suite 204 Mankato Child Psychology Clinic PA
Mankato, MN 56001

Phone

(507) 345-5590

Fax

(507) 345-3550

NPI assigned

Sep 21, 2006

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

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.

• Mankato Child Psychology Clinic PA

  • Psychologist
  • Mankato, MN
  • NPI 1316047517
  NPD (past) Authorized official

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972601953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 E MAIN STREET",
            "address_2": "SUITE 204 MANKATO CHILD PSYCHOLOGY CLINIC PA",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "56001",
            "telephone_number": "507-345-5590",
            "fax_number": "507-345-3550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 E MAIN STREET",
            "address_2": "SUITE 204 MANKATO CHILD PSYCHOLOGY CLINIC PA",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "56001",
            "telephone_number": "507-345-5590",
            "fax_number": "507-345-3550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASHLEY-CAMERON",
        "first_name": "SYLVIA",
        "middle_name": "ELAINE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP1391",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "42552AS",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Stephanie Marie Atchley-Shappell, LPN
• Rhea Atherton, PT
• Dennis L Athey, HID

• Psychologist in Mankato, MN
• Providers in Mankato, MN by specialty
• Psychologist in Minnesota

• 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.

Verify at the official NPI Registry.