Individual provider Active NPI

Christina Marie Camp, PHD

  • Psychologist
  • Atlanta, GA
National Provider Identifier
1467780296
Registry record updated Dec 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY003336 Issued in GA
Practice address
3355 Lenox Rd NE Ste 1000
Atlanta, GA 30326-2000
Phone
(404) 372-5251
Fax
(770) 840-7416
NPI assigned
Dec 7, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X
Psychologist 103T00000X PSY003336 GA Primary

Addresses

Primary practice location

3355 Lenox Rd NE Ste 1000
Atlanta, GA 30326-2000

Mailing address

3355 Lenox Rd NE Ste 1000
Atlanta, GA 30326-2000
Phone (404) 372-5251

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20130918000356 GA Practitioner - Clinical Psychologist 3577707306 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1924 Clairmont Rd
Suite 200
Decatur, GA 30033-3412
Phone (404) 372-5251

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PSY003336GAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Camp Psychological LLC. Psychologist CurrentSince Jun 22, 2013 Accepting new patients

Locations

3355 Lenox Rd NE
Ste 1000
Atlanta, GA 30326
Phone (678) 464-3259

1924 Clairmont Rd
Ste 200
Decatur, GA 30033
Phone (404) 320-9303

Organizations & group practices 1

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": "1260144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1467780296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3355 LENOX RD NE STE 1000",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303262000",
            "telephone_number": "404-372-5251",
            "fax_number": "770-840-7416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3355 LENOX RD NE STE 1000",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303262000",
            "telephone_number": "404-372-5251",
            "fax_number": "770-840-7416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMP",
        "first_name": "CHRISTINA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-07",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "GA",
            "license": "PSY003336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.