Organization Active NPI

Campos Behavioral Health Services LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Fredericksburg, VA
National Provider Identifier
1700300423
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024168053 Issued in VA
Legal business name
CAMPOS BEHAVIORAL HEALTH SERVICES LLC
Practice address
4701 Spotsylvania Pkwy Ste 101
Fredericksburg, VA 22407-9435
Phone
(540) 891-7891
Fax
(540) 891-2031
NPI assigned
Aug 3, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Hedy CamposNPI 1023261195
Title
Owner
Phone
(540) 891-7891

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X 0024168053 VA Primary

Addresses

Primary practice location

4701 Spotsylvania Pkwy Ste 101
Fredericksburg, VA 22407-9435

Mailing address

4701 Spotsylvania Pkwy Ste 101
Fredericksburg, VA 22407-9435
Phone (540) 891-7891

Other identifiers 1

IdentifierTypeStateIssuer
1023261195MedicaidVA

National Provider Directory

National Provider Directory

Locations

4701 Spotsylvania Pkwy
Ste 101
Fredericksburg, VA 22407
Phone (540) 371-3753

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1501718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1700300423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 SPOTSYLVANIA PKWY STE 101",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224079435",
            "telephone_number": "540-891-7891",
            "fax_number": "540-891-2031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 SPOTSYLVANIA PKWY STE 101",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224079435",
            "telephone_number": "540-891-7891",
            "fax_number": "540-891-2031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMPOS BEHAVIORAL HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-03",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CAMPOS",
        "authorized_official_first_name": "HEDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-891-7891",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024168053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1023261195",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.