Kevin William Campbell, PH.D.
Individual provider Active NPI Clinical Psychologist · North Charleston, SC
NPI 1538029640 · NPPES record last updated Nov 12, 2025
Key facts
- NPI
- 1538029640
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 1957 (SC)
- Practice address
- 6450 Rivers Ave
North Charleston, SC 29406-4882 - Phone
- (843) 818-5100
- NPI assigned
- Nov 12, 2025
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1957 | SC | Yes |
Addresses
Primary practice location
6450 Rivers Ave
North Charleston, SC 29406-4882
Mailing address
99 Westedge St Apt 608
Charleston, SC 29403-4997
Phone (858) 775-8777
Other providers in North Charleston, SC
- Meagan Camp
- Crystal D Campbell
- Ian Campbell
- James D Campbell
- Kathryn Player Campbell
- Kimberly Monique Campbell
- Shakina G Campbell
- Laurie Louise Candelaria
- Megan Cannon
- Danielle Denise Capers
All providers in North Charleston, SC · Clinical Psychologist in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 12, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.