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Individual Healthcare Provider

Camille Ann Stich

NPI Record: ActiveClinic/Center — Developmental Disabilities
NPI1003555657
Burnsville, Minnesota

Provider's NPPES record last updated: June 1, 2022

Overview

Entity Type
Individual Healthcare Provider
NPI
1003555657
Primary Specialty
Clinic/Center — Developmental Disabilities
Practice Location
Burnsville, Minnesota
Sole Proprietor
Yes

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 17, 2026, 10:42 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Clinic/Center

    Developmental Disabilities

    Ambulatory Health Care Facilities

    Primary

    An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).

    Taxonomy code 261QD1600X
  • Occupational Therapist

    Mental Health

    Respiratory, Developmental, Rehabilitative and Restorative Service Providers

    Occupational therapists provide treatment for people recovering from a mental or physical illness to regain their independence and stability and to engage in normal daily occupations (work, home, family life, school, leisure). Occupational therapists provide particular emphasis on interventions that result in improved quality of life and decrease hospitalization.

    Taxonomy code 225XM0800X

Practice Locations

Practice Location

14301 Ewing Ave S

Burnsville, Minnesota 55306-4885

Phone: (952) 746-5350

Record Information

Enumeration Date
June 1, 2022
Provider's NPPES Record Last Updated
June 1, 2022
Certification Date
June 1, 2022
NPISignal NPPES Dataset
August 2026

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