Amanda L Campbell, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810007199 Issued in VA

Practice address

4337 Cox Rd
Glen Allen, VA 23060-3359

Phone

(804) 277-9877

NPI assigned

Aug 26, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jun 1, 2026 through Jun 1, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Tandem Mental Health Associates, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Glen Allen, VA
  • NPI 1669309217
  NPD (past)

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

{
    "created_epoch": "1598400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598400000000",
    "number": "1760095038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4337 COX RD",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230603359",
            "telephone_number": "804-277-9877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4337 COX RD",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230603359",
            "telephone_number": "804-277-9877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "AMANDA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-26",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810007199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriella Chance Caldwell-Miller, PHD, LPC
• Jean K. Calhoun, MD
• Nelson Oakes Calisch, LPC
• Sharon S Camden, MD PHD
• Campbell S. Delk, DDS, PC
• Robert Lee Campbell, DDS
• Yvonne Campbell, LCSW
• Edward Gaham Canada III, LPC
• Shannon Jeanette Cannon, C.P.N.P.
• Monicah Canty, FNP

• Clinical Psychologist in Glen Allen, VA
• Providers in Glen Allen, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.