Active NPI
Anthony Campo, M.D.
- Psychiatry Physician
- Wilton Manors, FL
National Provider Identifier
1316965924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 170486
- Practice address
- 1432 NE 24TH St
Wilton Manors, FL 33305-1314 - Phone
- (561) 479-9256
- Fax
- (561) 930-9187
- NPI assigned
- Jul 18, 2006
- Last updated
- Apr 8, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 170486 | NY | Primary |
| Psychiatry Physician | 2084P0800X | ME113410 | FL |
Addresses
Primary practice location
1432 NE 24TH St
Wilton Manors, FL 33305-1314
Mailing address
1432 NE 24TH St
Wilton Manors, FL 33305-1314
Phone (561) 479-9256
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME113410 | FL | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caron of Florida, Inc | Past | Accepting new patients | |
| Stony Brook Psychiatric Associates, University Faculty Practice Corpor | Psychiatry | Past | Accepting new patients |
| Family Service League, Inc. | Past | Accepting new patients | |
| Anthony Campo MD PC | Psychiatry | Past | Accepting new patients |
| Park Avenue Medical Associates, P.C. | Past | Accepting new patients | |
| Liberty Behavioral Health Associates | Psychiatry | Past | Accepting new patients |
Organizations & group practices 6
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.
-
- Psychiatry Physician
- Southampton, NY
- NPI 1538485305
-
dba Caron Renaissance/Ocean Drive
- Substance Abuse Rehabilitation Facility
- Delray Beach, FL
- NPI 1356503015
-
- Community/Behavioral Health Agency
- Huntington, NY
- NPI 1528093242
-
- Psychiatry Physician
- Jersey City, NJ
- NPI 1811076607
-
- Geriatric Medicine (Family Medicine) Physician
- White Plains, NY
- NPI 1730138645
-
- Psychiatry Physician
- Stony Brook, NY
- NPI 1437105905
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744070400000",
"number": "1316965924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1432 NE 24TH ST",
"city": "WILTON MANORS",
"state": "FL",
"postal_code": "333051314",
"telephone_number": "561-479-9256",
"fax_number": "561-930-9187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1432 NE 24TH ST",
"city": "WILTON MANORS",
"state": "FL",
"postal_code": "333051314",
"telephone_number": "561-479-9256",
"fax_number": "561-930-9187"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPO",
"first_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-18",
"last_updated": "2025-04-08",
"certification_date": "2025-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "170486",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME113410",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilton Manors, FL
- Charles Brendan Callaghan
- Victoria A. Camba, DO
- Camp 4 Health
- Katharine Marie Campbell, PH.D., L.C.S.W.
- Robert Cooper Campbell
- Candace Lake Ms LMHC PA
- Courtney Cantrell
- Care Resource Community Health Centers, Inc
- Care Resource Community Health Centers, Inc (Care Resource Pharmacy Oakland Park)
- Care Resource Community Health Centers, Inc (Care Resource Community Health Centers, Inc-Mobile Unit 1)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.