Active NPI
James Burton Campbell, PSYD
- Clinical Psychologist
- Plantation, FL
National Provider Identifier
1689094385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY 8968
- Practice address
- 7501 NW 4TH St
Suite 215
Plantation, FL 33317-2245 - Phone
- (954) 707-9391
- Fax
- (954) 587-0982
- NPI assigned
- Apr 21, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY 8968 | FL | Primary |
Addresses
Primary practice location
7501 NW 4TH St
Suite 215
Plantation, FL 33317-2245
Mailing address
7501 NW 4TH St
Suite 215
Plantation, FL 33317-2245
Phone (954) 707-9391
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY 8968 | FL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398038400000",
"number": "1689094385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7501 NW 4TH ST",
"address_2": "SUITE 215",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333172245",
"telephone_number": "954-707-9391",
"fax_number": "954-587-0982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7501 NW 4TH ST",
"address_2": "SUITE 215",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333172245",
"telephone_number": "954-707-9391",
"fax_number": "954-587-0982"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "JAMES",
"middle_name": "BURTON",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-21",
"last_updated": "2014-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY 8968",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plantation, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.