Champion Psychological Services, Llc - Medicare Mental Health Clinic in Trenton, NJ

Champion Psychological Services, Llc is a medicare enrolled mental health clinic (Psychologist) in Trenton, New Jersey. The current practice location for Champion Psychological Services, Llc is 17 Bradford Ave Apt 13, Trenton, New Jersey. For appointments, you can reach them via phone at (609) 638-7560. The mailing address for Champion Psychological Services, Llc is P.o. Box 2623, Mercerville, New Jersey and phone number is (609) 638-7560.

Champion Psychological Services, Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1245854272. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (609) 638-7560.

Contact Information

Champion Psychological Services, Llc
17 Bradford Ave Apt 13
Trenton
NJ 08610-3107
(609) 638-7560
Not Available

Mental Health Clinic Profile

Full NameChampion Psychological Services, Llc
SpecialityPsychologist
Location17 Bradford Ave Apt 13, Trenton, New Jersey
Authorized Official Name and PositionCarmen Lynn Hodges (OWNER)
Authorized Official Contact6096387560
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Champion Psychological Services, Llc
P.o. Box 2623
Mercerville
NJ 08619-9998

Ph: (609) 638-7560
Champion Psychological Services, Llc
17 Bradford Ave Apt 13
Trenton
NJ 08610-3107

Ph: (609) 638-7560

NPI Details:

NPI Number1245854272
Provider Enumeration Date06/05/2020
Last Update Date06/05/2020
Certification Date06/05/2020

Medicare PECOS Information:

Medicare PECOS PAC ID4981026879
Medicare Enrollment IDO20200623001337

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Medical Identifiers

Medical identifiers for Champion Psychological Services, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245854272NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) (* (Not Available))Secondary
103T00000XPsychologist (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Champion Psychological Services, Llc acts as a billing entity for following providers:
Provider NameCarmen L Hodges
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1275967762
PECOS PAC ID: 4789909862
Enrollment ID: I20150212000770

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