JON-PAUL CHAMPINE, PSY.D., P.C.
NPI 1629377882
Psychologist - Clinical in Evanston, IL

Q: What is Jon-Paul Champine, Psy.D., P.C.'s NPI number?

The NPI number for Jon-Paul Champine, Psy.D., P.C. is 1629377882. It was assigned to this organization in the NPPES registry on March 26, 2011.

Q: What is Jon-Paul Champine, Psy.D., P.C.'s specialty?

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

Active since March 26, 2011

2530 CRAWFORD AVE, SUITE 315, EVANSTON, IL 60201(847) 869-4650(773) 751-2250 Get Directions Write a Review

NPPES record last updated: March 26, 2011. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Jon-paul Champine, Psy.d., P.c. NPPES

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

JON-PAUL CHAMPINE, PSY.D., P.C. (NPI 1629377882) is a healthcare organization registered as a clinical in Evanston, Illinois and active in the NPI registry since March 2011. The organization lists Jon-paul Champine, President, as its authorized official.

NPPES Registry Identity

NPI1629377882

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameJON-PAUL CHAMPINE, PSY.D., P.C.

Location Address2530 CRAWFORD AVE, SUITE 315Evanston, IL 60201-4970

Mailing Address2530 Crawford Ave, Suite 315Evanston, IL 60201-4970 · (847) 869-4650 · Fax (773) 751-2250

Phone(847) 869-4650

Fax(773) 751-2250

Organization SubpartNo

Authorized OfficialJon-paul ChampinePresident · (847) 869-4650

Enumeration DateMarch 26, 2011

✔ NPI 1629377882 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 IL · 071006739

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.

2530 CRAWFORD AVE, Evanston, IL 60201

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Other Identifiers 1

Medicare OSCAR/certification210025IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jon-paul Champine, Psy.d., P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Jon-Paul Champine, Psy.D., P.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Jon Paul Champine, PSY.D.

Clinical Psychologist

NPI 1982698833

503 PARK DR STE 6
Kenilworth, IL 60043

(847) 571-4985

✔ PECOS✔ Accepts Medicare1.7 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Jon-Paul Champine, Psy.D., P.C.'s NPI number?

The NPI number for Jon-Paul Champine, Psy.D., P.C. is 1629377882. It was assigned to this organization in the NPPES registry on March 26, 2011.

Where is Jon-Paul Champine, Psy.D., P.C. located?

Jon-Paul Champine, Psy.D., P.C. is located at 2530 Crawford Ave Suite 315, Evanston, IL 60201. The listed phone number is (847) 869-4650.

What is Jon-Paul Champine, Psy.D., P.C.'s specialty?

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

Is Jon-Paul Champine, Psy.D., P.C. enrolled in Medicare?

Yes. Jon-Paul Champine, Psy.D., P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jon-Paul Champine, Psy.D., P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Jon-Paul Champine, Psy.D., P.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Jon-Paul Champine, Psy.D., P.C. was last updated on March 26, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.