Derek Allen Campbell, PH.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

00899 Issued in IA

Practice address

6200 Aurora Ave Ste 202W
Urbandale, IA 50322-2876

Phone

(515) 252-2522

Fax

(515) 252-2523

NPI assigned

Sep 14, 2006

Last updated

Dec 28, 2017By the provider in NPPES

Sex

Male

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

Enrolled in IA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Campbell Neuropsychological Services, PCGroup PAC ID 1254354707, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

77.26 of 100Reported as individual

Quality

54.52

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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.

• Campbell Neuropsychological Services, PC

  • Clinical Neuropsychologist
  • Urbandale, IA
  • NPI 1205815495
  Medicare reassignment Care Compare group Authorized official

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514419200000",
    "number": "1356446314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 AURORA AVE STE 202W",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503222876",
            "telephone_number": "515-252-2522",
            "fax_number": "515-252-2523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 AURORA AVE STE 202W",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503222876",
            "telephone_number": "515-252-2522",
            "fax_number": "515-252-2523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "DEREK",
        "middle_name": "ALLEN",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2017-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "IA",
            "license": "00899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Marie Caldbeck, LMSW
• Pamela Caley, PHARMD
• Johanna Callahan, LMSW
• Sarah Cammoun-Myers, M.A.
• Campbell Neuropsychological Services, PC
• Andrea Nicole Cardenas, PLMHC
• Caremark Carecenter Pharmacy, L.L.C. (Caremark Iowa CareCenter Pharmacy I, LLC)
• Caretech Xpress LLC
• Karlee Kay Carlin
• Carlson Chiropractic PLLC

• Clinical Neuropsychologist in Urbandale, IA
• Providers in Urbandale, IA by specialty
• Clinical Neuropsychologist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2017; 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.

Verify at the official NPI Registry.