Individual provider Active NPI

Natalie Christine Campbell, PSY.D.

  • Clinical Psychologist
  • Raleigh, NC
National Provider Identifier
1689779548
Registry record updated Apr 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6044 Issued in NC
Practice address
238 W Millbrook Rd
Raleigh, NC 27609-4304
Phone
(919) 518-9293
NPI assigned
Sep 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6044 NC
Clinical Psychologist 103TC0700X 0810003373 VA
Clinical Psychologist 103TC0700X 6044 NC Primary

Addresses

Primary practice location

238 W Millbrook Rd
Raleigh, NC 27609-4304

Mailing address

2626 W Timber Crest Dr NE
Leland, NC 28451-6615
Phone (703) 731-4581

Other practice location 1

3340 Woodburn Rd
Annandale, VA 22003-1202
Phone (703) 207-7788

Other names 1

  • Natalie Christine Smith Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231207003168 NC Practitioner - Clinical Psychologist 3779560008 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6044NCMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Lifesource of North Carolina Clinical CurrentSince Nov 1, 2023 Accepting new patients
Rha Health Services, Inc CurrentSince Mar 27, 2024 Accepting new patients
Rha Health Services, Inc CurrentSince Mar 27, 2024 Accepting new patients
Rha Health Services Inc Current Accepting new patients
Lifesource of North Carolina Psychologist CurrentSince Nov 1, 2023 Accepting new patients
Fairfax County, Virginia PastSince Nov 1, 1997 Accepting new patients

Locations

211 Perimeter Center Pkwy NE
Ste 750
Atlanta, GA 30346

211 S Centennial St
High Point, NC 27260
Phone (336) 841-0143

238 W Millbrook Rd
Raleigh, NC 27609
Phone (919) 518-9293

3205 Randall Pkwy
Ste 105
Wilmington, NC 28403
Phone (910) 338-2880

405 Nash St W
Ste 200
Wilson, NC 27893
Phone (252) 360-1489

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714089600000",
    "number": "1689779548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2626 W TIMBER CREST DR NE",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "284516615",
            "telephone_number": "703-731-4581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 W MILLBROOK RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276094304",
            "telephone_number": "919-518-9293"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3340 Woodburn Rd",
            "address_purpose": "LOCATION",
            "city": "Annandale",
            "state": "VA",
            "postal_code": "220031202",
            "country_code": "US",
            "telephone_number": "703-207-7788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "NATALIE",
        "middle_name": "CHRISTINE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "6044",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810003373",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "6044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NATALIE",
            "last_name": "SMITH",
            "middle_name": "CHRISTINE",
            "credential": "PSY.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.