Camille Campbell a Marriage and Family Therapy Corporation

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

CAMILLE CAMPBELL A MARRIAGE AND FAMILY THERAPY CORPORATION

Practice address

8170 Beverly Blvd Ste 203
Los Angeles, CA 90048-4532

Phone

(310) 897-0974

NPI assigned

Apr 21, 2020

Organization subpart

No

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

Authorized official

Name

Camille Campbell, MFTNPI 1679080980

Title

President

Phone

(424) 279-8336

Specialties & licenses 1

Addresses

Other names 1

• Camille Campbell Psychotherapy Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Camille Campbell, MFT

  • Marriage & Family Therapist
  • Los Angeles, CA
  • NPI 1679080980
  NPD (past) Authorized official

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

{
    "created_epoch": "1587427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587427200000",
    "number": "1467072314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14470 GLORIETTA DR",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914234539",
            "telephone_number": "310-897-0974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8170 BEVERLY BLVD STE 203",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900484532",
            "telephone_number": "310-897-0974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMILLE CAMPBELL A MARRIAGE AND FAMILY THERAPY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-21",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "CAMILLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "424-279-8336",
        "authorized_official_credential": "MFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Camille Campbell Psychotherapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ryan Daniel Cameron
• Tracee Ranee Cameron, MSSW
• Victoria Marie Cameron, LMFT
• Adameros Camesa, PA-C
• Elifelets Camez
• Marc Camilon, MD
• Camino Home Health LLC
• Camino Nuevo Family Health Clinic
• Salone Camp
• Tiffany Camp

• Marriage & Family Therapist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2020; 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.