Organization Active NPI

Liz Campbell PHD PL

  • Clinical Psychologist
  • Orlando, FL
National Provider Identifier
1659514933
Registry record updated Apr 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY6141 Issued in FL
Legal business name
LIZ CAMPBELL PHD PL
Practice address
700 Kaywood Dr
Orlando, FL 32825-8063
Phone
(407) 282-4644
NPI assigned
Apr 15, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2009

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

Authorized official

Name
Liz Campbell
Title
PHD
Phone
(478) 475-1299

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PY6141 FL Primary

Addresses

Primary practice location

700 Kaywood Dr
Orlando, FL 32825-8063

Mailing address

PO Box 28410
Macon, GA 31221-8410

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1239753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239753600000",
    "number": "1659514933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28410",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312218410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 KAYWOOD DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328258063",
            "telephone_number": "407-282-4644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIZ CAMPBELL PHD PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-15",
        "last_updated": "2009-04-15",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "LIZ",
        "authorized_official_title_or_position": "PHD",
        "authorized_official_telephone_number": "478-475-1299"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY6141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2009; 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.