Organization Active NPI

William P Campbell PHD Inc

  • Clinical Psychologist
  • Albuquerque, NM
National Provider Identifier
1619450137
Registry record updated Sep 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
WILLIAM P CAMPBELL PHD INC
Practice address
9426 Indian School Rd NE Ste 1
Albuquerque, NM 87112-2887
Phone
(505) 345-6100
Fax
(505) 345-4531
NPI assigned
Sep 11, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2018

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

Authorized official

Name
William P Campbell, PHDNPI 1063993350
Title
Clinical Psychologist
Phone
(505) 345-6100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

9426 Indian School Rd NE Ste 1
Albuquerque, NM 87112-2887

Mailing address

9426 Indian School Rd NE Ste 1
Albuquerque, NM 87112-2887
Phone (505) 345-6100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181101001842 NM Part B Supplier - Clinic/Group Practice 8426301821 Receives reassigned benefits from 1 practitioner
Practice locations: Albuquerque, NM

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1536624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536624000000",
    "number": "1619450137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9426 INDIAN SCHOOL RD NE STE 1",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871122887",
            "telephone_number": "505-345-6100",
            "fax_number": "505-345-4531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9426 INDIAN SCHOOL RD NE STE 1",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871122887",
            "telephone_number": "505-345-6100",
            "fax_number": "505-345-4531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM P CAMPBELL PHD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-11",
        "last_updated": "2018-09-11",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "505-345-6100",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.