Individual provider Active NPI

Mark Campbell Jr., DNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Gilbert, AZ
National Provider Identifier
1619703261
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
309722 Issued in AZ
Practice address
2450 E Guadalupe Rd Ste 103
Gilbert, AZ 85234-5116
Phone
(602) 610-1191
Fax
(602) 835-0559
NPI assigned
Sep 10, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 309722 AZ Primary

Addresses

Primary practice location

2450 E Guadalupe Rd Ste 103
Gilbert, AZ 85234-5116

Mailing address

2450 E Guadalupe Rd Ste 103
Gilbert, AZ 85234-5116
Phone (602) 610-1191

Other practice location 1

9250 W Thomas Rd Ste 100
Phoenix, AZ 85037-3383
Phone (602) 610-1191

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250409001291 AZ Practitioner - Nurse Practitioner 7214451483 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Leading Healthcare Specialist PLLCGroup PAC ID 6002246352, 20 clinicians
Bella Vida TMS LLCGroup PAC ID 7810340874, 9 clinicians

Practice addresses (Care Compare)

12622 E Victoria St
Chandler, AZ 85249-3748
Phone (623) 295-1190

2450 E Guadalupe Rd
Suite 103
Gilbert, AZ 85234-5116
Phone (602) 610-1191

Hospital & facility affiliations

  • Banner Desert Medical Center Hospital, Mesa, AZ, CCN 030065

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Leading Healthcare Specialist PLLC Psychiatric/Mental Health CurrentSince Mar 1, 2025 Accepting new patients
Bella Vida TMS LLC CurrentSince Nov 3, 2025 Accepting new patients
Leading Healthcare, LLC Past Accepting new patients
Heal Recovery Center LLC Psychiatric/Mental Health PastSince Dec 6, 2022 Accepting new patients

Locations

2450 E Guadalupe Rd
Ste 103
Gilbert, AZ 85234
Phone (480) 907-6818

13555 W McDowell Rd
Ste 205
Goodyear, AZ 85395
Phone (623) 535-0740

9250 W Thomas Rd
Ste 100
Phoenix, AZ 85037
Phone (602) 610-1191

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1725926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764547200000",
    "number": "1619703261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 E GUADALUPE RD STE 103",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852345116",
            "telephone_number": "602-610-1191",
            "fax_number": "602-835-0559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 E GUADALUPE RD STE 103",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852345116",
            "telephone_number": "602-610-1191",
            "fax_number": "602-835-0559"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9250 W Thomas Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850373383",
            "country_code": "US",
            "telephone_number": "602-610-1191",
            "fax_number": "602-835-0559",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "MARK",
        "name_suffix": "Jr.",
        "credential": "DNP, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-10",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "309722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.