MARY CHAMPION
NPI 1457248916
Psychologist - School in Santa Rosa, CA

Active since June 18, 2025
5340 SKYLANE BLVD, SANTA ROSA, CA 95403(707) 524-2711 Get Directions Write a Review

NPPES record last updated: June 18, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mary Champion NPPES

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

MARY CHAMPION (NPI 1457248916) is an individual school provider in Santa Rosa, California, licensed in California (LEP4613) and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1457248916
Entity TypeIndividualFemale
Primary Taxonomy103TS0200X
Provider Legal NameMARY CHAMPION
Location Address5340 SKYLANE BLVDSanta Rosa, CA 95403-8246
Mailing Address2209 Midway DrSanta Rosa, CA 95405-4956 · (858) 736-5362
Sole ProprietorNo
Enumeration DateJune 18, 2025
NPPES CertifiedJune 18, 2025
NPI 1457248916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologist · SchoolBehavioral Health & Social Service Providers
Taxonomy Code103TS0200X
License Licensed in CA · LEP4613
Definition
A psychologist whose specialty is concerned with the science and practice of psychology with children, youth, families; learners of all ages; and the schooling process. The basic education and training of school psychologists prepares them to provide a range of psychological diagnosis, assessment, intervention, prevention, health promotion, and program development and evaluation services with a special focus on the developmental processes of children and youth within the context of schools, families and other systems. School psychologists are prepared to intervene at the individual and system level, and develop, implement, and evaluate preventive programs. In these efforts, they conduct ecologically valid assessments and intervene to promote positive learning environments within which children and youth from diverse backgrounds to ensure that all have equal access to effective educational and psychological services that promote healthy development
Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License LMFT96596 (CA)
5340 SKYLANE BLVD, Santa Rosa, CA 95403

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Local Education Agency (LEA)
5340 SKYLANE BLVD
SANTA ROSA, CA 95403
Marriage & Family Therapist
5340 SKYLANE BLVD
SANTA ROSA, CA 95403
Counselor (Mental Health)
5340 SKYLANE BLVD
SANTA ROSA, CA 95403
Psychologist (School)
5340 SKYLANE BLVD
SANTA ROSA, CA 95403
Counselor (Mental Health)
5340 SKYLANE BLVD
SANTA ROSA, CA 95403
Social Worker (Clinical)
5340 SKYLANE BLVD
SANTA ROSA, CA 95403
Social Worker
5340 SKYLANE BLVD
SANTA ROSA, CA 95403
Health and Wellness Coach
5340 SKYLANE BLVD
SANTA ROSA, CA 95403

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 Mary Champion's NPI number?

The NPI number for Mary Champion is 1457248916. It was assigned to this individual provider in the NPPES registry on June 18, 2025.

Where is Mary Champion located?

Mary Champion practices at 5340 Skylane Blvd, Santa Rosa, CA 95403. The listed phone number is (707) 524-2711.

What is Mary Champion's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in School, with taxonomy code 103TS0200X.

When was this NPI record last updated?

The NPPES record for Mary Champion was last updated on June 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.