Individual provider Active NPI

Megan Michelle Pinkston-Camp, M.A., PH.D.

  • Clinical Psychologist
  • Providence, RI
National Provider Identifier
1447560487
Registry record updated Oct 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS01208 Issued in RI
Practice address
164 Summit Ave
Rise BLDG., Room 157
Providence, RI 02906-2853
Phone
(401) 793-3582
Fax
(401) 793-4534
NPI assigned
Oct 8, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS01208 RI Primary

Addresses

Primary practice location

164 Summit Ave
Rise BLDG., Room 157
Providence, RI 02906-2853

Mailing address

164 Summit Ave
Rise BLDG., Room 157
Providence, RI 02906-2853
Phone (401) 793-3582

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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

Enrollment IDStateProvider typePAC IDDetails
I20110325000010 RI Practitioner - Clinical Psychologist 7113100389 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
University of Missouri, Kansas City, School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lifespan Physician Group Inc 1,151 clinicians
Rhode Island Hospital 430 clinicians

Practice addresses (Care Compare)

146 W River St
Suite 11a
Providence, RI 02904-2609
Phone (401) 793-8770

200 Corliss St
Suite 1
Providence, RI 02904-2602
Phone (401) 606-8530

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Lifespan Physician Group, Inc. CurrentSince Jan 1, 2016 Accepting new patients
Rhode Island Hospital Clinical CurrentSince Jul 1, 2019 Accepting new patients
Rhode Island Hospital CurrentSince Jul 1, 2019 Accepting new patients
The Miriam Hospital Clinical CurrentSince Mar 1, 2015 Accepting new patients
The Rhode Island Public Health Foundation CurrentSince Jul 1, 2022 Accepting new patients
The Miriam Hospital Clinical CurrentSince Jan 6, 2011 Accepting new patients
Lifespan Physician Group, Inc. Clinical CurrentSince Jan 1, 2016 Accepting new patients
The Miriam Hospital CurrentSince Jan 6, 2011 Accepting new patients

Locations

1454 S County Trl
Ste 2100
East Greenwich, RI 02818
Phone (401) 606-2000

7 Central St
Providence, RI 02907
Phone (401) 621-8200

146 W River St
#11A
Providence, RI 02904
Phone (401) 606-8250

593 Eddy St
Providence, RI 02903

1125 N Main St
Providence, RI 02904
Phone (401) 793-2928

164 Summit Ave
Rm 157
Providence, RI 02906
Phone (401) 793-3582

164 Summit Ave
Providence, RI 02906
Phone (401) 793-2104

593 Eddy St
Ste 9B
Providence, RI 02903
Phone (401) 444-5280

200 Corliss St
#1
Providence, RI 02904
Phone (401) 606-8530

117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318

Organizations & group practices 22

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.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1286496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286496000000",
    "number": "1447560487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 SUMMIT AVE",
            "address_2": "RISE BLDG., ROOM 157",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029062853",
            "telephone_number": "401-793-3582",
            "fax_number": "401-793-4534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 SUMMIT AVE",
            "address_2": "RISE BLDG., ROOM 157",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029062853",
            "telephone_number": "401-793-3582",
            "fax_number": "401-793-4534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINKSTON-CAMP",
        "first_name": "MEGAN",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "M.A., PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-08",
        "last_updated": "2010-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "RI",
            "license": "PS01208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.