Organization Active NPI

Michael E. Campbell, PH.D., P.a.

  • Health Service Psychologist
  • Harker Heights, TX
National Provider Identifier
1497884688
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service PsychologistTaxonomy code 103TH0100X
License
2-1603 Issued in TX
Legal business name
MICHAEL E. CAMPBELL, PH.D., P.A.
Practice address
880 Prospector Trail
Suite 100
Harker Heights, TX 76548
Phone
(254) 690-1512
NPI assigned
Mar 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Michael E. Campbell, PH.D.
Title
Director
Phone
(254) 690-1512

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TH0100X 2-1603 TX Primary

Addresses

Primary practice location

880 Prospector Trail
Suite 100
Harker Heights, TX 76548

Mailing address

880 Prospector Trail
Suite 100
Harker Heights, TX 76548
Phone (254) 690-1512

Other names 1

  • Michael E. Campbell, Ph.D. Former legal business name

National Provider Directory

National Provider Directory

Locations

880 Prospector Trl
#100
Harker Hts, TX 76548
Phone (254) 690-1512

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497884688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 PROSPECTOR TRAIL",
            "address_2": "SUITE 100",
            "city": "HARKER HEIGHTS",
            "state": "TX",
            "postal_code": "76548",
            "telephone_number": "254-690-1512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 PROSPECTOR TRAIL",
            "address_2": "SUITE 100",
            "city": "HARKER HEIGHTS",
            "state": "TX",
            "postal_code": "76548",
            "telephone_number": "254-690-1512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL E. CAMPBELL, PH.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "254-690-1512",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TH0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Health Service",
            "state": "TX",
            "license": "2-1603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michael E. Campbell, Ph.D.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Harker Heights, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.