Active NPI
Tiffany Campbell, PH.D
- School Psychologist
- Washington, DC
National Provider Identifier
1144814377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- Practice address
- 2400 Shannon PL SE
Washington, DC 20020-5820 - Phone
- (202) 939-2000
- NPI assigned
- Feb 28, 2021
- Last updated
- Apr 17, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 07458 | MD | |
| School Psychologist | 103TS0200X | Primary |
Addresses
Primary practice location
2400 Shannon PL SE
Washington, DC 20020-5820
Mailing address
1200 1St St NE FL 9
Washington, DC 20002-7953
Other practice location 1
1400 Mercantile Ln Ste 252
Largo, MD 20774-5333
Phone (202) 544-5440
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
650 Pennsylvania Ave SE
Suite 440
Washington, DC 20003-4424
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba CCCC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Washington, DC
- NPI 1992965552
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776384000000",
"number": "1144814377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 1ST ST NE FL 9",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200027953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 SHANNON PL SE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200205820",
"telephone_number": "202-939-2000"
}
],
"practiceLocations": [
{
"address_1": "1400 Mercantile Ln Ste 252",
"address_purpose": "LOCATION",
"city": "Largo",
"state": "MD",
"postal_code": "207745333",
"country_code": "US",
"telephone_number": "202-544-5440",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAMPBELL",
"first_name": "TIFFANY",
"name_prefix": "Dr.",
"credential": "PH.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-28",
"last_updated": "2026-04-17",
"certification_date": "2026-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MD",
"license": "07458",
"primary": false
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2026; 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.