Champion Psychological Services, LLC
Psychologist in Trenton, New Jersey
1245854272- Practice location
- 17 Bradford Ave Apt 13, Trenton, NJ 08610-3107
- Phone
- 609-638-7560
- Fax
- —
- Last updated
- June 5, 2020
Champion Psychological Services, LLC is a healthcare organization based in Trenton, NJ. Champion Psychological Services, LLC practices in Trenton, NJ. The NPI Number for Champion Psychological Services, LLC is 1245854272. The current practice location address for Champion Psychological Services, LLC is 17 Bradford Ave Apt 13, Trenton, NJ 08610-3107 and can be reached out via phone at 609-638-7560.
Provider Profile Details
- NPI Number
- 1245854272
- Provider Name
- Champion Psychological Services, LLC
- Provider Entity Type
- Organization
- Address
- 17 Bradford Ave Apt 13, Trenton, NJ 08610-3107
- Phone Number
- 609-638-7560
- Primary Taxonomy
- Psychologist · 103T00000X
- Organization Subpart
- No
- Authorized Official
- Carmen Lynn Hodges, PSYD, LCADC · Owner · 609-638-7560
- Provider Enumeration Date
- June 5, 2020
- Last Update Date
- June 5, 2020
- Certification Date
- June 5, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 17 Bradford Ave Apt 13
Trenton, NJ 08610-3107 - City
- Trenton
- State
- New Jersey
- Zip
- 08610-3107
- Phone Number
- 609-638-7560
Provider Business Mailing Address Details
- Address
- P.o. Box 2623
Mercerville, NJ 08619-9998 - City
- Mercerville
- State
- NJ
- Zip
- 08619-9998
- Phone Number
- 609-638-7560
License Information
- Taxonomy (1)
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X
- Taxonomy (2)
- Psychologist · 103T00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Champion Psychological Services, LLC?
The NPI number of Champion Psychological Services, LLC is 1245854272. It was assigned on June 5, 2020 and is currently active in the NPPES registry.
What is the specialty of Champion Psychological Services, LLC?
Champion Psychological Services, LLC is registered under the primary taxonomy Psychologist (code 103T00000X).
Where does Champion Psychological Services, LLC practice?
The practice location is 17 Bradford Ave Apt 13, Trenton, NJ 08610-3107. The office can be reached at 609-638-7560 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1245854272 directly on the NPPES registry website.