Organization Active NPI

Campbell Management Inc.

  • Early Intervention Provider Agency
  • Brooklyn, NY
National Provider Identifier
1386016012
Registry record updated Oct 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
016403-1 Issued in NY
Legal business name
CAMPBELL MANAGEMENT INC.
Practice address
1411 81St St
Brooklyn, NY 11228-3105
Phone
(347) 489-3771
NPI assigned
Oct 21, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2015

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

Authorized official

Name
Mrs. Maria Inga Campbell, CCC-SLPNPI 1306099965
Title
President
Phone
(347) 489-3771

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 016403-1 NY Primary

Addresses

Primary practice location

1411 81St St
Brooklyn, NY 11228-3105

Mailing address

1411 81St St
Brooklyn, NY 11228-3105
Phone (347) 489-3771

Other identifiers 1

IdentifierTypeStateIssuer
04070426MedicaidNY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1445385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445385600000",
    "number": "1386016012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 81ST ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112283105",
            "telephone_number": "347-489-3771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 81ST ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112283105",
            "telephone_number": "347-489-3771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMPBELL MANAGEMENT INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-21",
        "last_updated": "2015-10-21",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "INGA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-489-3771",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "016403-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04070426",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2015; 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.