Shyann Mikaell Campana, M.A.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

38721 Issued in TX

Practice address

8350 N Central Expy Ste 1275
Dallas, TX 75206-1614

Phone

(469) 232-7965

NPI assigned

Sep 12, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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.

• Western Youth Services

  • Adolescent and Children Mental Health Clinic/Center
  • Mission Viejo, CA
  • NPI 1790817468
  NPD (past)

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

{
    "created_epoch": "1505174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649894400000",
    "number": "1831618784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8350 N CENTRAL EXPY STE 1275",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752061614",
            "telephone_number": "469-232-7965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8350 N CENTRAL EXPY STE 1275",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752061614",
            "telephone_number": "469-232-7965"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26137 La Paz Rd Ste 230",
            "address_purpose": "LOCATION",
            "city": "Mission Viejo",
            "state": "CA",
            "postal_code": "92691",
            "country_code": "US",
            "telephone_number": "949-595-8610",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1950 S Sunwest Ln Ste 200",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "92408",
            "country_code": "US",
            "telephone_number": "909-252-4010 x90925",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1950 S Sunwest Ln Ste 200",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "92408",
            "country_code": "US",
            "telephone_number": "909-252-4010 x90925",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPANA",
        "first_name": "SHYANN",
        "middle_name": "MIKAELL",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-12",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "A6",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "38721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED PSYCHOLOGIST NUMBER",
            "identifier": "38721",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mallory Camp
• Mary Elizabeth Camp, M.D.
• Simona Campa, DNP, ACNP-BC
• Lauri B Campagna, MD
• Nicholas Campalans
• Campbell Bourland DDS, PLLC
• Campbell Dental P.a.
• Campbell University Inc
• Aleia Campbell, MS, LPC-A, NCC
• Andrew Foil Campbell, M.D.

• Psychologist in Dallas, TX
• Providers in Dallas, TX by specialty
• Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.