Active NPI
Camille Griffith, PSY.D.
- Clinical Psychologist
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 34638
- Practice address
- 1111 6TH Ave Ste 550
San Diego, CA 92101-5211 - Phone
- (760) 515-1336
- NPI assigned
- Aug 3, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1202 | WV | |
| Clinical Psychologist | 103TC0700X | 34638 | CA | Primary |
Addresses
Primary practice location
1111 6TH Ave Ste 550
San Diego, CA 92101-5211
Mailing address
1111 6TH Ave Ste 550
San Diego, CA 92101-5211
Phone (760) 515-1336
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1202 | WV | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meditelecare of West Virginia PLLC | Clinical | Current | Accepting new patients |
| University Healthcare Physicians Inc | Current | Accepting new patients | |
| University Healthcare Physicians, Inc. | Current | Accepting new patients |
Locations
171 Taylor St
Harpers Ferry, WV 25425
Phone (304) 535-6343
2004 Professional Ct
Martinsburg, WV 25401
Phone (304) 263-8964
2000 Foundation Way
Ste 3100
Martinsburg, WV 25401
Phone (304) 260-1436
400 Fairview Heights Rd
Summersville, WV 26651
Phone (304) 872-2891
Organizations & group practices 3
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.
-
- Clinical Psychologist
- Charleston, WV
- NPI 1235631888
-
- Family Medicine Physician
- Martinsburg, WV
- NPI 1659625739
-
- Anesthesiology Physician
- Martinsburg, WV
- NPI 1417371329
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740528000000",
"number": "1356829196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 6TH AVE STE 550",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921015211",
"telephone_number": "760-515-1336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 6TH AVE STE 550",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921015211",
"telephone_number": "760-515-1336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIFFITH",
"first_name": "CAMILLE",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-03",
"last_updated": "2025-02-26",
"certification_date": "2025-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WV",
"license": "1202",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "34638",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.