Individual provider Active NPI

Christopher Campbell, PH.D.

  • Clinical Psychologist
  • Edmond, OK
National Provider Identifier
1457915175
Registry record updated Jul 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1229 Issued in OK
Practice address
17935 N Pennsylvania Ave Ste 201B
Edmond, OK 73012-9288
Phone
(405) 285-2110
Fax
(405) 216-3362
NPI assigned
Apr 29, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2023

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 1229 OK Primary

Addresses

Primary practice location

17935 N Pennsylvania Ave Ste 201B
Edmond, OK 73012-9288

Mailing address

3101 Cedar Springs CT
Arcadia, OK 73007-7547
Phone (405) 850-0542

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1229OKMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Campbell Child Psychology, LLC CurrentSince Jun 1, 2023 Accepting new patients
Adams Psychological Assessment and Therapy Services, LLC PastSince Jul 31, 2023 Accepting new patients
Campbell Comprehensive Psychological Services, LLC PastSince Feb 23, 2020 Accepting new patients

Locations

17935 N Pennsylvania Ave
Ste 201B
Edmond, OK 73012
Phone (405) 285-2110

17935 N Pennsylvania Ave
Ste 201
Edmond, OK 73012
Phone (405) 285-2110

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1556496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1457915175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 CEDAR SPRINGS CT",
            "city": "ARCADIA",
            "state": "OK",
            "postal_code": "730077547",
            "telephone_number": "405-850-0542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17935 N PENNSYLVANIA AVE STE 201B",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730129288",
            "telephone_number": "405-285-2110",
            "fax_number": "405-216-3362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "CHRISTOPHER",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-29",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OK",
            "license": "1229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; 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.