Individual provider Active NPI

Raquel Olivia Campbell, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • New Haven, CT
National Provider Identifier
1093020232
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
13319 Issued in CT
Practice address
20 York St
New Haven, CT 06510-3220
Phone
(347) 277-0688
NPI assigned
Aug 12, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X 406235 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 13319 CT Primary

Addresses

Primary practice location

20 York St
New Haven, CT 06510-3220

Mailing address

484 Beechmont Ave
Bridgeport, CT 06606-3708
Phone (347) 277-0688

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241022002111 CT Practitioner - Nurse Practitioner 0547792087 Reassigns benefits to 5 organizations
I20250305001362 NY Practitioner - Nurse Practitioner 0547792087 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yale UniversityGroup PAC ID 9436061736, 2,632 clinicians

Practice addresses (Care Compare)

20 York St
New Haven, CT 06510-3220
Phone (203) 688-4242

Hospital & facility affiliations

  • Yale-New Haven Hospital Hospital, New Haven, CT, CCN 070022

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13319CTMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Optimus Health Care Inc Multi-Specialty CurrentSince Apr 15, 2025 Accepting new patients
Grow Healthcare Group PA Multi-Specialty CurrentSince Jan 28, 2025 Accepting new patients
Yale University CurrentSince Sep 5, 2024 Accepting new patients
Optimus Health Care Inc CurrentSince Apr 15, 2025 Accepting new patients
Aldad Medical PC Multi-Specialty CurrentSince Jan 1, 2025 Accepting new patients
Yale University Multi-Specialty CurrentSince Sep 5, 2024 Accepting new patients
Trust and Care Mental Health Inc. Multi-Specialty CurrentSince Oct 11, 2025 Accepting new patients
Advanced Health Sports & Occupation Multi-Specialty PastSince Jan 1, 2025 Accepting new patients

Locations

982 E Main St
Bridgeport, CT 06608
Phone (203) 696-3260

471 Barnum Ave
Bridgeport, CT 06608
Phone (203) 333-6864

1000 Lafayette Blvd
Ste 1100
Bridgeport, CT 06604
Phone (203) 513-9456

100 Pearl St
Fl 14
Hartford, CT 06103
Phone (860) 421-6636

800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140

20 York St
North Haven, CT 06510
Phone (203) 688-2433

263 Tresser Blvd
Fl 9
Stamford, CT 06901
Phone (203) 915-8337

130 Morgan St
Stamford, CT 06905
Phone (203) 348-0123

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

165 Broadway
Fl 23
New York, NY 10006
Phone (202) 972-4964

510 Hempstead Tpke
Rm 203
West Hempstead, NY 11552
Phone 51650572001051

Interoperability endpoints

  • Direct secure messaging: rcampbell460975@direct.ynhh.org

Organizations & group practices 8

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1281571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1093020232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "484 BEECHMONT AVE",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066063708",
            "telephone_number": "347-277-0688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 YORK ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065103220",
            "telephone_number": "347-277-0688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "RAQUEL",
        "middle_name": "OLIVIA",
        "credential": "APRN, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-12",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "406235",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "13319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.