Individual provider Active NPI

Michelle Campbell-Thomas, PMHNP-BC,APCNP,APRN,

  • Psychiatric/Mental Health Nurse Practitioner
  • Westbury, NY
National Provider Identifier
1689990772
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
406854 Issued in NY
Practice address
PO Box 10052
Westbury, NY 11590-0801
Phone
(516) 414-2604
NPI assigned
Apr 14, 2010
Last updated
Aug 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 309138 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 406854 NY Primary
Registered Nurse 163W00000X 590150 NY

Addresses

Primary practice location

PO Box 10052
Westbury, NY 11590-0801

Mailing address

PO Box 10052
Westbury, NY 11590-0801
Phone (516) 414-2604

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
590150NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1271203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1689990772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10052",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115900801",
            "telephone_number": "516-414-2604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 10052",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115900801",
            "telephone_number": "516-414-2604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL-THOMAS",
        "first_name": "MICHELLE",
        "credential": "PMHNP-BC,APCNP,APRN,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-14",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "309138",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "406854",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "590150",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westbury, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; 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.