D Michael Campbell Jr., EDD

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

PSY26388 Issued in CA

Practice address

819 G Ave
Coronado, CA 92118-2519

Phone

(619) 865-0490

NPI assigned

Nov 3, 2016

Last updated

Nov 3, 2016By the provider in NPPES

Sex

Male

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

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: dcampbell12631@scrippshlth.medalliesdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Scripps Health

  dba Scripps Hospital Medical Services

  • General Acute Care Hospital
  • San Diego, CA
  • NPI 1487928891
  NPD

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

{
    "created_epoch": "1478131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478131200000",
    "number": "1821540071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 G AVE",
            "city": "CORONADO",
            "state": "CA",
            "postal_code": "921182519",
            "telephone_number": "619-865-0490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 G AVE",
            "city": "CORONADO",
            "state": "CA",
            "postal_code": "921182519",
            "telephone_number": "619-865-0490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "D",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "EDD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-11-03",
        "last_updated": "2016-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "PSY26388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Han Nguyen Bui, PHARM.D.
• Jessica Burley, FNP
• Kimberly Byers-Lund, D.O.
• James Maurice Cahill Jr., BCB
• Eileen Anne Callahan, PH.D.
• Shelly Suzanne Capitanich, RD
• Antonina Carini, PHARMD, BCPS
• Colleen Mary Carley, MOTR/L
• Justin Carl Carpenter, IDC
• Gina L. Casian, M.D.

• Clinical Neuropsychologist in Coronado, CA
• Providers in Coronado, CA by specialty
• Clinical Neuropsychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2016; 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.