Organization Active NPI

Monica Campbell, PH.D., LLC

  • Clinical Psychologist
  • Philadelphia, PA
National Provider Identifier
1235489881
Registry record updated Sep 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS015555 Issued in PA
Legal business name
MONICA CAMPBELL, PH.D., LLC
Practice address
1500 Walnut St
Suite 902
Philadelphia, PA 19102-3523
Phone
(215) 964-8335
NPI assigned
Sep 11, 2012
Last updated
Sep 11, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2012

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

Authorized official

Name
Dr. Monica Thompson Campbell, PH.D.NPI 1932226685
Title
Principal
Phone
(215) 964-8335

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS015555 PA Primary

Addresses

Primary practice location

1500 Walnut St
Suite 902
Philadelphia, PA 19102-3523

Mailing address

PO Box 34210
Philadelphia, PA 19101-4210
Phone (215) 964-8335

National Provider Directory

National Provider Directory

Locations

1500 Walnut St
Ste 902
Philadelphia, PA 19102
Phone (215) 303-7588

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1347321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347321600000",
    "number": "1235489881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34210",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191014210",
            "telephone_number": "215-964-8335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 WALNUT ST",
            "address_2": "SUITE 902",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191023523",
            "telephone_number": "215-964-8335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONICA CAMPBELL, PH.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-11",
        "last_updated": "2012-09-11",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "MONICA",
        "authorized_official_middle_name": "THOMPSON",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "215-964-8335",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS015555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.