Individual provider Active NPI

Thomas R Campi Jr., MD

  • Psychiatry Physician
  • Philadelphia, PA
National Provider Identifier
1821582354
Registry record updated Mar 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A181341 Issued in CA
Practice address
2418 E York St
Philadelphia, PA 19125-3006
Phone
(650) 605-3622
NPI assigned
Jun 18, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD476837 PA
Psychiatry Physician 2084P0800X A181341 CA Primary

Addresses

Primary practice location

2418 E York St
Philadelphia, PA 19125-3006

Mailing address

2081 Center St
Berkeley, CA 94704-1204
Phone (650) 605-3622

Other practice location 1

2081 Center St
Berkeley, CA 94704-1204
Phone (650) 605-3622

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230118001140 PA Practitioner - Psychiatry 4486025061 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2418 E York St
Philadelphia, PA 19125-3006
Phone (650) 605-3622

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A181341CAMDPsychiatry Physician
MD476837PAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health & Wellness Now Telehealth Psychiatry CurrentSince May 28, 2024 Accepting new patients
Mental Health & Wellness Now Telehealth, LLC Psychiatry CurrentSince Mar 24, 2024 Accepting new patients

Locations

2081 Center St
Berkeley, CA 94704
Phone (323) 705-3656

2418 E York St
Philadelphia, PA 19125
Phone (215) 575-5906

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1529280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711065600000",
    "number": "1821582354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2081 CENTER ST",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947041204",
            "telephone_number": "650-605-3622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2418 E YORK ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191253006",
            "telephone_number": "650-605-3622"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2081 Center St",
            "address_purpose": "LOCATION",
            "city": "Berkeley",
            "state": "CA",
            "postal_code": "947041204",
            "country_code": "US",
            "telephone_number": "650-605-3622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPI",
        "first_name": "THOMAS",
        "middle_name": "R",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-18",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD476837",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A181341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.