Active NPI
Frank Dale Campbell, EDS
- Psychologist
- Fergus Falls, MN
National Provider Identifier
1154461952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- LP0124
- Practice address
- 125 W Lincoln
Suite 12
Fergus Falls, MN 56537 - Phone
- (218) 739-0683
- Fax
- (218) 739-0683
- NPI assigned
- Feb 8, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | LP0124 | MN | Primary |
Addresses
Primary practice location
125 W Lincoln
Suite 12
Fergus Falls, MN 56537
Mailing address
125 W Lincoln
Suite 12
Fergus Falls, MN 56537
Phone (218) 739-0683
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 |
|---|---|---|---|
| LP0124 | MN | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154461952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 W LINCOLN",
"address_2": "SUITE 12",
"city": "FERGUS FALLS",
"state": "MN",
"postal_code": "56537",
"telephone_number": "218-739-0683",
"fax_number": "218-739-0683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 W LINCOLN",
"address_2": "SUITE 12",
"city": "FERGUS FALLS",
"state": "MN",
"postal_code": "56537",
"telephone_number": "218-739-0683",
"fax_number": "218-739-0683"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "FRANK",
"middle_name": "DALE",
"credential": "EDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MN",
"license": "LP0124",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fergus Falls, MN
- Trent Landel Bullerman, RN
- Ashley Nicole Burns, PA-C
- Cynthia Kay Burton, LPN PCA
- Kristin Bye, RN, PHN, BSN
- Alicia Marie Cabak, LICENSED PRACTICAL N
- Care 2000 Home Healthcare Services of Fergus Falls
- Care 2000 Homecare Services of Fergus Falls
- Care Call Van Service
- Careavan Mobility 4 U
- Felicia Pouyonoh Carl, LPN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.