Lori K Campbell, PH.D., HSPP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

20041374A Issued in IN

Practice address

3925 E Hagan St, Ste 102
Bloomington, IN 47401-8649

Phone

(812) 336-1994

NPI assigned

Nov 24, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1416787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428969600000",
    "number": "1427455179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3925 E HAGAN ST, STE 102",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474018649",
            "telephone_number": "812-336-1994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3925 E HAGAN ST, STE 102",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474018649",
            "telephone_number": "812-336-1994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "LORI",
        "middle_name": "K",
        "credential": "PH.D., HSPP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-24",
        "last_updated": "2015-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IN",
            "license": "20041374A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201267940 A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Campbell Chiropractic and Rehabilitation
• Connor Scott Campbell, PA-C
• Kevin Campbell, PTA
• Laura L Campbell
• Liza Marie Campbell, DC
• Marcia Jo Campbell, MD
• William T. Campbell III, M.D.
• Cancer Care Center of Southern Indiana, LLC
• Rowan Tracy Candy, O.D.
• Lauren Cantor

• Psychologist in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.