Active NPI
Amanda Lynn Campbell, MD
- Psychiatry Physician
- Easton, PA
National Provider Identifier
1336723907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MT222649
- Practice address
- 1700 St Lukes Blvd Ste 402
Easton, PA 18045-5670 - Phone
- (484) 526-1000
- NPI assigned
- May 10, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MT222649 | PA | Primary |
Addresses
Primary practice location
1700 St Lukes Blvd Ste 402
Easton, PA 18045-5670
Mailing address
1700 St Lukes Blvd Ste 402
Easton, PA 18045-5670
Phone (484) 526-1000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251210004523 | PA | Practitioner - Psychiatry | 2062821515 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Southampton Psychiatric Associates PC
Practice addresses (Care Compare)
882 Jacksonville Rd
Suite 205
Ivyland, PA 18974-4807
Phone (215) 355-2011
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southampton Psychiatric Associates PC | Psychiatry | Current | Accepting new patients |
Locations
882 Jacksonville Rd
Ste 205
Warminster, PA 18974
Phone (215) 355-2011
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 and National Provider Directory roles.
-
- Psychiatry Physician
- Southampton, PA
- NPI 1013926583
PA, Psychiatry
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620604800000",
"number": "1336723907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 ST LUKES BLVD STE 402",
"city": "EASTON",
"state": "PA",
"postal_code": "180455670",
"telephone_number": "484-526-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 ST LUKES BLVD STE 402",
"city": "EASTON",
"state": "PA",
"postal_code": "180455670",
"telephone_number": "484-526-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "AMANDA",
"middle_name": "LYNN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-10",
"last_updated": "2021-05-10",
"certification_date": "2021-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PA",
"license": "MT222649",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Easton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; 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.