Active NPI
Megan Michelle Pinkston-Camp, M.A., PH.D.
- Clinical Psychologist
- Providence, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS01208
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 IncRhode Island Hospital
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifespan Physician Group, Inc. | Current | Accepting new patients | |
| Rhode Island Hospital | Clinical | Current | Accepting new patients |
| Rhode Island Hospital | Current | Accepting new patients | |
| The Miriam Hospital | Clinical | Current | Accepting new patients |
| The Rhode Island Public Health Foundation | Current | Accepting new patients | |
| The Miriam Hospital | Clinical | Current | Accepting new patients |
| Lifespan Physician Group, Inc. | Clinical | Current | Accepting new patients |
| The Miriam Hospital | Current | 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.
-
- Anesthesiology Physician
- Providence, RI
- NPI 1053782466
-
- Urgent Care Clinic/Center
- Warwick, RI
- NPI 1285191163
-
- General Practice Physician
- Providence, RI
- NPI 1407116643
-
- Psychiatric Hospital Unit
- Providence, RI
- NPI 1083709109
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Providence, RI
- NPI 1083848980
-
- Transplant Surgery Physician
- Providence, RI
- NPI 1174605208
-
- Hematology & Oncology Physician
- Providence, RI
- NPI 1396849782
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2010; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.