Mary Champion, - Couples Therapy in Santa Rosa, CA

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Mary Champion, is a Psychologist - School based in Santa Rosa, California. Mary Champion is licensed to practice in California (license number LEP4613) and her current practice location is 5340 Skylane Blvd, Santa Rosa, California. She can be reached at her office (for appointments etc.) via phone at (707) 524-2711.

NPI number for Mary Champion is 1457248916 and her current mailing address is 2209 Midway Dr, Santa Rosa, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1457248916.

Contact Information

Mary Champion,
5340 Skylane Blvd,
Santa Rosa, CA 95403-8246
(707) 524-2711
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameMary Champion
GenderFemale
SpecialityPsychologist - School
Location5340 Skylane Blvd, Santa Rosa, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1457248916
  • Provider Enumeration Date: 06/18/2025
  • Last Update Date: 06/18/2025

Medical Identifiers

Medical identifiers for Mary Champion such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457248916NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
106H00000XMarriage & Family Therapist LMFT96596 (California)Secondary
103TS0200XPsychologist - School LEP4613 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mary Champion is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mary Champion,
2209 Midway Dr,
Santa Rosa, CA 95405-4956

Ph: (858) 736-5362		Mary Champion,
5340 Skylane Blvd,
Santa Rosa, CA 95403-8246

Ph: (707) 524-2711

Reviews and Comments


Psychologist in Santa Rosa, CA


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.