Active NPI
Lewis E. Campbell, LPE-I
- Cognitive & Behavioral Psychologist
- North Little Rock, AR
National Provider Identifier
1124274469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cognitive & Behavioral Psychologist
- License
- 82-30EI
- Practice address
- 4705 Somers Ave
Suite 1027
North Little Rock, AR 72116-7034 - Phone
- (501) 771-9910
- Fax
- (501) 758-7116
- NPI assigned
- Aug 18, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | 82-30EI | AR | Primary |
Addresses
Primary practice location
4705 Somers Ave
Suite 1027
North Little Rock, AR 72116-7034
Mailing address
4705 Somers Ave
P O Box 94696
North Little Rock, AR 72116-7034
Phone (501) 771-9910
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 82-30EI | AR | MD | Cognitive & Behavioral Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219017600000",
"number": "1124274469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4705 SOMERS AVE",
"address_2": "P O BOX 94696",
"city": "NORTH LITTLE ROCK",
"state": "AR",
"postal_code": "721167034",
"telephone_number": "501-771-9910",
"fax_number": "501-758-7116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4705 SOMERS AVE",
"address_2": "SUITE 1027",
"city": "NORTH LITTLE ROCK",
"state": "AR",
"postal_code": "721167034",
"telephone_number": "501-771-9910",
"fax_number": "501-758-7116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "LEWIS",
"middle_name": "E.",
"name_prefix": "Mr.",
"credential": "LPE-I",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-08-18",
"last_updated": "2008-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "AR",
"license": "82-30EI",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.