MICHAEL ANDREW CHAMP
NPI 1295231660
Psychiatry & Neurology - Child & Adolescent Psychiatry in Burlington, VT

Q: What is the provider's specialty?

The provider's specialty is Psychiatry & Neurology with taxonomy code 2084P0804X and a focus in Child & Adolescent Psychiatry.

Active since April 03, 2018PECOS Enrolled

102 S WINOOSKI AVE, BURLINGTON, VT 05401(802) 488-6000(802) 488-6919 Get Directions Write a Review

NPPES record last updated: April 29, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 23, 2023, Jul 13, 2021 (2 updates tracked since 2021).

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About Michael Andrew Champ NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL ANDREW CHAMP (NPI 1295231660) is an individual child & adolescent psychiatry provider in Burlington, Vermont, licensed in Vermont (042.0016281) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295231660

Entity TypeIndividualMale

Primary Taxonomy2084P0804X

Provider Legal NameMICHAEL ANDREW CHAMP

Location Address102 S WINOOSKI AVEBurlington, VT 05401-7406

Mailing Address28 Manseau StWinooski, VT 05404-1546 · (802) 847-5162 · Fax (802) 315-4168

Phone(802) 488-6000

Fax(802) 488-6919

Sole ProprietorYes

Enumeration DateApril 3, 2018

Last NPPES UpdateApril 29, 20252 updates tracked since enumeration

NPPES CertifiedApril 29, 2025

✔ NPI 1295231660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0804X

License✔ Licensed in VT · 042.0016281

Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 042.0016281 (VT)

102 S WINOOSKI AVE, Burlington, VT 05401

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael Andrew Champ is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.