Campbell

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CAMPBELL

Practice address

600 Abbott Dr
Broomall, PA 19008-4317

Phone

(610) 394-8668

Fax

(610) 394-6929

NPI assigned

Oct 13, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Isaiah Travis Campbell, BA

Title

Social Worker

Phone

(215) 206-9502

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1444694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444694400000",
    "number": "1427429794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 LANSDOWNE COURT",
            "city": "LANSDOWNE",
            "state": "PA",
            "postal_code": "19050",
            "telephone_number": "610-394-8668",
            "fax_number": "610-394-6929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 ABBOTT DR",
            "city": "BROOMALL",
            "state": "PA",
            "postal_code": "190084317",
            "telephone_number": "610-394-8668",
            "fax_number": "610-394-6929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMPBELL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-13",
        "last_updated": "2015-10-13",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "ISAIAH",
        "authorized_official_middle_name": "TRAVIS",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "215-206-9502",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hassaanah Byrd, BEHAVIOR TECHNICIAN
• Mackenzie Cain
• Kevin Callahan
• Helena S Camarda, PA-C
• Mike Cammarota, A.T.C. , C.S.C.S.
• Alexa Nicole Campbell, DMD
• Bridget Campbell
• Carl Capasso, R.PH.
• Joseph J Capista, DDS
• Michaelina Capizzi

• Community/Behavioral Health Agency in Broomall, PA
• Providers in Broomall, PA by specialty
• Community/Behavioral Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.