Individual provider Active NPI

Marie Celeste Campagnone, M.D.

  • Child & Adolescent Psychiatry Physician
  • Rockville, MD
National Provider Identifier
1053511352
Registry record updated Jul 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
D52438 Issued in MD
Practice address
6261 Executive Blvd
Rockville, MD 20852-3906
Phone
(301) 948-0454
Fax
(301) 770-4670
NPI assigned
Jul 24, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X D52438 MD Primary

Addresses

Primary practice location

6261 Executive Blvd
Rockville, MD 20852-3906

Mailing address

6261 Executive Blvd
Rockville, MD 20852-3906
Phone (301) 948-0454

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 27, 2022 through Jul 27, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Psych Associates of Maryland LLC CurrentSince Jan 8, 2023 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Nuweights Past Accepting new patients

Locations

4520 East West Hwy
Ste 775
Bethesda, MD 20814
Phone (240) 531-2799

801 N Quincy St
Ste 601
Arlington, VA 22203
Phone (667) 220-8067

Interoperability endpoints

  • Direct secure messaging: marie.campagnone.p3@direct.mcg-hhs.nextgenshare.com
  • Direct secure messaging: marie.campagnone.p1@direct.mcg-hhs.nextgenshare.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185235200000",
    "number": "1053511352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6261 EXECUTIVE BLVD",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208523906",
            "telephone_number": "301-948-0454",
            "fax_number": "301-770-4670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6261 EXECUTIVE BLVD",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208523906",
            "telephone_number": "301-948-0454",
            "fax_number": "301-770-4670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPAGNONE",
        "first_name": "MARIE",
        "middle_name": "CELESTE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-24",
        "last_updated": "2007-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MD",
            "license": "D52438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.