Maxine Elizabeth Campbell-Flint, PHD, MP

Primary specialty

Prescribing (Medical) PsychologistTaxonomy code 103TP0016X

License

MP.000028 Issued in LA

Practice address

412 N 4TH St
Suite 100
Baton Rouge, LA 70802-5523

Phone

(225) 719-1988

Fax

(888) 719-5854

NPI assigned

Jan 24, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bethesda Rehabilitation Hospital Inpatient rehabilitation facility, Baton Rouge, LA, CCN 193092

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• JMJ Psychological Services, LLC

  • Prescribing (Medical) Psychologist
  • Baton Rouge, LA
  • NPI 1245507821
  Medicare reassignment NPD
• Avenue Parc

  • Health Service Clinic/Center
  • Baton Rouge, LA
  • NPI 1427738731
  Medicare reassignment

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

• Bethesda Rehabilitation Hospital, Inc.

  • Rehabilitation Hospital
  • Baton Rouge, LA
  • NPI 1558388470

  Inpatient rehabilitation facility

  Care Compare affiliation

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1093860371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7725 HANKS DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708124004",
            "telephone_number": "225-719-1988",
            "fax_number": "888-719-5854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 N 4TH ST",
            "address_2": "SUITE 100",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708025523",
            "telephone_number": "225-719-1988",
            "fax_number": "888-719-5854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL-FLINT",
        "first_name": "MAXINE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "PHD, MP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TP0016X",
            "taxonomy_group": "",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "LA",
            "license": "MP.000028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1563439",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Toya Cameron, BS
• Anastasia Lopiccolo Camp, ANP
• Cecile Annette Camp, LCSW
• Mary Beth Campagna, LOT
• Brent Oliver Campanella, M.D.
• Brandon Cary Campbell, NP
• Breanna Rae Campbell, MD
• Brenda Steptoe Campbell, MSW, PROVISIONAL GSW
• Courtney Kling Campbell, MD
• Cynthia Campbell

• Prescribing (Medical) Psychologist in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Prescribing (Medical) Psychologist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.