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DR. CAMILLE JOAN MOSSO CORNELL PH.D.
NPI 1295238616
Psychologist - Clinical in Bellingham, WA

Active since March 12, 2018Opted out of Medicare · through Jan 21, 2028
103 E HOLLY ST STE 401, BELLINGHAM, WA 98225(360) 929-4250 Get Directions Write a Review

NPPES record last updated: January 31, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 31, 2023, Mar 12, 2018 (2 updates tracked since 2018).

About Dr. Camille Joan Mosso Cornell Ph.d. NPPES

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

DR. CAMILLE JOAN MOSSO CORNELL PH.D. (NPI 1295238616) is an individual clinical provider in Bellingham, Washington, licensed in Washington (PY60736940) and active in the NPI registry since March 2018. She has opted out of Medicare through January 21, 2028.

NPPES Registry Identity

NPI1295238616
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. CAMILLE JOAN MOSSO CORNELLCredential: PH.D.
Location Address103 E HOLLY ST STE 401Bellingham, WA 98225-4728
Mailing Address103 E Holly St Ste 401Bellingham, WA 98225-4728 · (360) 929-4250
Phone(360) 929-4250
Sole ProprietorYes
Enumeration DateMarch 12, 2018
Last NPPES UpdateJanuary 31, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 31, 2023
✔ NPI 1295238616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in WA · PY60736940
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
103 E HOLLY ST STE 401, Bellingham, WA 98225
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Camille Joan Mosso Cornell Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 21, 2020 through January 21, 2028.

Opt-Out Effective DateJanuary 21, 2020
Opt-Out In Effect ThroughJanuary 21, 2028Opt-out affidavits renew automatically every two years unless cancelled

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Camille Cornell's NPI number?

The NPI number for Camille Cornell is 1295238616. It was assigned to this individual provider in the NPPES registry on March 12, 2018.

Where is Camille Cornell located?

Camille Cornell practices at 103 E Holly St Ste 401, Bellingham, WA 98225. The listed phone number is (360) 929-4250.

What is Camille Cornell's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Camille Cornell enrolled in Medicare?

No. Camille Cornell has opted out of Medicare through January 21, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Camille Cornell was last updated on January 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.