Kathleen Campbell

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

53119 Issued in CA

Practice address

1200 Mt Diablo Blvd
Suite 401
Walnut Creek, CA 94596-4852

Phone

(925) 943-1794

Fax

(925) 943-6091

NPI assigned

Dec 4, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1228348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502236800000",
    "number": "1336384361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 MT DIABLO BLVD",
            "address_2": "SUITE 401",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945964852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 MT DIABLO BLVD",
            "address_2": "SUITE 401",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945964852",
            "telephone_number": "925-943-1794",
            "fax_number": "925-943-6091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "KATHLEEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-04",
        "last_updated": "2017-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "53119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randi M. Camicia, PHARMD
• Beau Campa
• Holly Campana
• Jennifer A Campbell, MA, LMFT
• Kaitlin Campbell, B.A.
• Scott Richard Campbell, OD
• Caitlyn Campos, BS
• Christy Lynn Campos, P.T.
• Karina M Campos, BA
• Shellie Smith Campos, NP

• Marriage & Family Therapist in Walnut Creek, CA
• Providers in Walnut Creek, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2017; 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.