DR. KIM P CHAMPION PH.D.
NPI 1104987569
Psychologist in Newark, DE
NPI Status: Active since December 12, 2006
Contact Information
8 POLLY DRUMMOND HILL RD
NEWARK, DE
ZIP 19711
Phone: (302) 738-6859
Fax: (302) 368-5309
- Individual
- Female
- Psychologist
- Accepts Insurance
- Opted-Out Medicare
About KIM CHAMPION
This page provides the complete NPI Profile along with additional information for Kim Champion, a provider established in Newark, Delaware with a medical specialization in Psychologist. The healthcare provider is registered in the NPI registry with number 1104987569 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 19 years ago.
- NPI
- 1104987569
- Provider Name
- DR. KIM P CHAMPION PH.D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 8 POLLY DRUMMOND HILL RD NEWARK, DE 19711
- Location Phone
- (302) 738-6859
- Location Fax
- (302) 368-5309
- Mailing Address
- 8 POLLY DRUMMOND HILL RD NEWARK, DE 19711
- Mailing Phone
- (302) 738-6859
- Mailing Fax
- (302) 368-5309
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 12-12-2006
- Last Update Date
- 07-09-2007
- Code Navigator
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.
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 01-01-2026. 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 and cannot order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychologist
- Taxonomy Code
- 103T00000X
- Type
- Behavioral Health & Social Service Providers
- License No.
- B1-0000568
- License State
- DE
- Taxonomy Description
- A 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Connect 1500 Gold - EPO
- Connect 6000 Silver - EPO
- Connect 9800 Bronze - EPO
- HSA Qualified 7500 Bronze - Choice Network - EPO
- HSA-E Qualified 7500 Bronze - Signature Network - EPO
- Providence Oregon Standard Bronze Plan - Choice Network - EPO
- Providence Oregon Standard Bronze Plan - Signature Network - EPO
- Providence Oregon Standard Gold Plan - Choice Network - EPO
- Providence Oregon Standard Gold Plan - Signature Network - EPO
- Providence Oregon Standard Silver Plan - Choice Network - EPO
- Providence Oregon Standard Silver Plan - Signature Network - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2264420 | MEDICARE UPIN (02) | DE | |
| 181225 | MEDICARE UPIN (02) | DE | |
| 289732 | MEDICARE UPIN (02) | DE | |
| 61-58110 | MEDICARE UPIN (02) | DE | |
| 51-0035PHD | MEDICARE UPIN (02) | DE |
Medicare Participation & PECOS Enrollment Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 01-01-2016
Opt-Out End Date: 01-01-2026
Eligible to Order and Refer? No
Reviews for DR. KIM P CHAMPION PH.D.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1104987569, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 61 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 18 providers are registered at the same or a nearby location.
NEWARK, DE 19711
NEWARK, DE 19711
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104987569, enumerated as an "individual" on December 12, 2006.
The provider is located at 8 POLLY DRUMMOND HILL RD NEWARK, DE 19711 and the phone number is (302) 738-6859.
Psychologist with taxonomy code 103T00000X.
The provider might be accepting Accepts: Providence Health Plan, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
