Active NPI
Rebecca Campbell
- School Psychologist
- Fargo, ND
National Provider Identifier
1700615713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 000424300
- Practice address
- 700 7TH St S
Fargo, ND 58103-2704 - Phone
- (701) 446-1014
- NPI assigned
- Jul 29, 2024
- Sex
- Female
- 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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 000424300 | ND | Primary |
Addresses
Primary practice location
700 7TH St S
Fargo, ND 58103-2704
Mailing address
700 7TH St S
Fargo, ND 58103-2704
Phone (701) 446-1014
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
| License | State | Type | Specialty |
|---|---|---|---|
| 000424300 | ND | MD | School Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fargo Public Schools | Current | Accepting new patients |
Locations
700 7th St S
Fargo, ND 58103
Phone (701) 446-1000
Organizations & group practices 1
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.
-
- Speech-Language Pathologist
- Fargo, ND
- NPI 1477570497
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722211200000",
"number": "1700615713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 7TH ST S",
"city": "FARGO",
"state": "ND",
"postal_code": "581032704",
"telephone_number": "701-446-1014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 7TH ST S",
"city": "FARGO",
"state": "ND",
"postal_code": "581032704",
"telephone_number": "701-446-1014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "REBECCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-29",
"last_updated": "2024-07-29",
"certification_date": "2024-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "ND",
"license": "000424300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.