Scott Adam Campbell

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

MD10273434153 Issued in MD

Practice address

1802 Autumn Glo Ter
Severn, MD 21144-2538

Phone

(443) 734-8757

NPI assigned

Mar 13, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1678665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689897600000",
    "number": "1699476002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1802 AUTUMN GLO TER",
            "city": "SEVERN",
            "state": "MD",
            "postal_code": "211442538",
            "telephone_number": "443-734-8757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 AUTUMN GLO TER",
            "city": "SEVERN",
            "state": "MD",
            "postal_code": "211442538",
            "telephone_number": "443-734-8757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "SCOTT",
        "middle_name": "ADAM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-13",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "MD",
            "license": "MD10273434153",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "MD",
            "license": "MD10273434153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shatoyia Brown
• Bta Medical Services LLC
• Bta Medical Services LLC
• Theresa Buabeng, PMHNP
• Katrina Campbell, RN
• Carla a. Leonard, Inc
• Karen Arlinda Cartwright, R.N.
• Cataplasma Healthcare Services LLC
• Centerpeace Home Care
• Centrepointe Counseling, Inc.

• Case Manager/Care Coordinator in Severn, MD
• Providers in Severn, MD by specialty
• Case Manager/Care Coordinator in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2023; 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.