Campbell Comprehensive Psychological Services, LLC

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

CAMPBELL COMPREHENSIVE PSYCHOLOGICAL SERVICES, LLC

Doing business as

PCIT & TCIT Training

Practice address

1985 W 33Rd St
Edmond, OK 73013-3875

Phone

(405) 482-3116

Fax

(405) 285-6814

NPI assigned

Feb 17, 2020

Last updated

Apr 15, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Christopher Campbell, PH.D.NPI 1457915175

Title

President

Phone

(405) 482-3116

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• PCIT & TCIT Training Doing business as

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christopher Campbell, PH.D.

  • Clinical Psychologist
  • Edmond, OK
  • NPI 1457915175
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1581897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586908800000",
    "number": "1023641263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2716 GREEN CANYON DR",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730135732",
            "telephone_number": "405-482-3116",
            "fax_number": "405-242-3892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1985 W 33RD ST",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730133875",
            "telephone_number": "405-482-3116",
            "fax_number": "405-285-6814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMPBELL COMPREHENSIVE PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-17",
        "last_updated": "2020-04-15",
        "certification_date": "2020-04-15",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-482-3116",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH PROVIDER ID",
            "identifier": "14618350",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "None",
            "affiliation": "N",
            "endpointDescription": "None",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "None",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "None",
            "address_1": "1985 W 33rd St",
            "city": "Edmond",
            "state": "OK",
            "country_code": "US",
            "postal_code": "730133875",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "PCIT & TCIT Training",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PCIT & TCIT Training",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Caltre LLC (Tower Dental)
• Simone Nohemi Camarillo, M.ED. LPC CANDIDIATE
• Linda Kupchak Cameron, M.A., CCC'SLP
• Tommy Dean Camp, P.A.
• Campbell Child Psychology, LLC
• Christopher Campbell, PH.D.
• Danielle Nicole Campbell, PH.D.
• Eric J Campbell, PA-C
• Haven Rose Campbell
• Jesse R. Campbell, MD

• Adolescent and Children Mental Health Clinic/Center in Edmond, OK
• Providers in Edmond, OK by specialty
• Adolescent and Children Mental Health Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.