DR. KIM P CHAMPION PH.D. NPI 1104987569
Psychologist in Newark, DE

About DR. KIM P CHAMPION PH.D.

Kim Champion is a provider established in Newark, Delaware and her medical specialization is Psychologist. The NPI number of this provider is 1104987569 and was assigned on December 2006. The practitioner's primary taxonomy code is 103T00000X with license number B1-0000568 (DE). The provider is registered as an individual and her NPI record was last updated 16 years ago.

NPI
1104987569
Provider NameDR. KIM P CHAMPION PH.D.
Location Address8 POLLY DRUMMOND HILL RD NEWARK, DE 19711
Location Phone(302) 738-6859
Mailing Address8 POLLY DRUMMOND HILL RD NEWARK, DE 19711
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?Yes
Enumeration Date12-12-2006
Last Update Date07-09-2007

A psychologist like Kim Champion studies cognitive, emotional, social processes and behavior by observing, interpreting, and recording how people relate to one another and to their environments. Psychologists gather information and evaluate behavior through controlled laboratory experiments, psychoanalysis, psychotherapy or through personality, performance, aptitude, or intelligence tests, and use this information when testing theories in their research or when treating patients.Kim Champion is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME)..

The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Kim Champion opted out of Medicare effective on 01-01-2016 until 01-01-2024. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.



Primary Taxonomy

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code103T00000X
ClassificationPsychologist
TypeBehavioral Health & Social Service Providers
License No.B1-0000568
License StateDE
Taxonomy DescriptionA psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Accepted Insurance

The NPI profile data indicates this provider might be enrolled and accepting health plans from the following insurance companies or healthcare programs:

  • Medicaid
  • Medicare

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Business Address

8 POLLY DRUMMOND HILL RD
NEWARK, DE
ZIP 19711
Phone: (302) 738-6859
Fax: (302) 368-5309

Get Directions


Mailing Address

8 POLLY DRUMMOND HILL RD
NEWARK, DE
ZIP 19711
Phone: (302) 738-6859
Fax: (302) 368-5309


Location Map

PECOS Enrollment and Medicare Participation Status

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
Opted-Out of MedicareYes
Opt-Out Effective Date01-01-2016
Opt-Out End Date01-01-2024
Eligible to Order and ReferYes
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)No
Eligible order / refer Power Mobility DevicesNo

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
2264420MEDICARE UPIN (02)DE
181225MEDICARE UPIN (02)DE
289732MEDICARE UPIN (02)DE
61-58110MEDICARE UPIN (02)DE
51-0035PHDMEDICARE UPIN (02)DE

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1104987569
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
210418814512
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 0 + 4 + 1 + 8 + 8 + 1 + 4 + 5 + 1 + 2 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1104987569 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 16 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1982770301DR. JD WILLETTS II PH.D.
Individual
Psychologist8 POLLY DRUMMOND HILL RD
NEWARK, DE 19711
(302) 738-6859
1467529065DR. RICHARD ALAN HOLMES PH.D.
Individual
Psychologist (Clinical)8 POLLY DRUMMOND HILL RD
NEWARK, DE 19711
(302) 737-6859
1811064975MRS. BRENDA J SCHNEIDER MA
Individual
Counselor8 POLLY DRUMMOND HILL RD
NEWARK, DE 19711
(302) 738-6859
1558439992 VICKI DUNCAN TILLMAN MA
Individual
Counselor (Professional)8 POLLY DRUMMOND HILL RD
NEWARK, DE 19711
(302) 738-6859
1417015926 ERIN J WORDEN LPC
Individual
Counselor (Professional)8 POLLY DRUMMOND HILL RD
NEWARK, DE 19711
(302) 738-6859
1821152661MRS. TISHA MICHELLE SMITH M.A.
Individual
Counselor (Professional)8 POLLY DRUMMOND HILL RD
NEWARK, DE 19711
(302) 738-6859
1710029319 JEFFREY DEAN ERNST M.A.
Individual
Counselor (Pastoral)8 POLLY DRUMMOND HILL RD
NEWARK, DE 19711
(302) 738-6859
1518009653MRS. CATHY CHIU M.A.
Individual
Counselor8 POLLY DRUMMOND HILL RD
NEWARK, DE 19711
(302) 738-6859
1194003129MRS. PAMELA JEAN LAPORTE
Individual
Social Worker (Clinical)8 POLLY DRUMMOND HILL RD
NEWARK, DE 19711
(302) 738-6859
1194892216 MITCHELL K RUOFF PSY.D.
Individual
Psychologist8 POLLY DRUMMOND HILL RD
NEWARK, DE 19711
(302) 738-6859
1245494905 COURTNEY L SLATER PHD
Individual
Psychologist (Clinical)8 POLLY DRUMMOND HILL RD
NEWARK, DE 19711
(302) 738-6859
1013084805DR. JUDITH KAY WILLETTS PH.D.
Individual
Psychologist8 POLLY DRUMMOND HILL RD
NEWARK, DE 19711
(302) 738-6859
1861807018 GRETCHEN MAHONEY LPCMH
Individual
Counselor (Professional)8 POLLY DRUMMOND HILL RD
NEWARK, DE 19711
(302) 738-6859
1679120406MRS. AIMEE KATHERINE SELLERS LACMH
Individual
Counselor (Mental Health)8 POLLY DRUMMOND HILL RD
NEWARK, DE 19711
(302) 738-6859
1255407698PIKE CREEK PSYCHOLOGICAL CENTER
Organization
Counselor (Mental Health)8 POLLY DRUMMOND HILL RD
NEWARK, DE 19711
(302) 738-6859
1629716949MR. RICHARD GERRY PECK JR. LACMH, NCC
Individual
Counselor (Mental Health)8 POLLY DRUMMOND HILL RD
NEWARK, DE 19711
(302) 738-6859

Frequently Asked Questions

What is Dr. Kim Champion PH.D. NPI number?

The NPI number assigned to this healthcare provider is 1104987569, registered as an "individual" on December 12, 2006

Where is Dr. Kim Champion PH.D. located?

The provider is located at 8 Polly Drummond Hill Rd Newark, De 19711 and the phone number is (302) 738-6859

Which is Dr. Kim Champion PH.D. specialty?

The provider's speciality is Psychologist

What insurance does Dr. Kim Champion PH.D. accept?

The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Is Dr. Kim Champion PH.D. registered in PECOS?

Yes, as of January 10, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

Does Dr. Kim Champion PH.D. accepts Medicare?

No, the provider signed an affidavit on January 01, 2016 to opt-out of the Medicare program. The provider is excluded from the Medicare program until January 01, 2024.

How do I update my NPI information?

The NPI record of Dr. Kim Champion PH.D. was last updated on December 12, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us at: [email protected]