Porscha Dickens Campbell, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

079862 Issued in GA

Practice address

253 W 28TH St FL 2
New York, NY 10001

Phone

(917) 451-7018

NPI assigned

Apr 8, 2014

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1396915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659052800000",
    "number": "1841619772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 ROBT DANEL JR PKWY # 1257",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309090803",
            "telephone_number": "706-414-9175",
            "fax_number": "706-813-8052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "253 W 28TH ST FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10001",
            "telephone_number": "917-451-7018"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2467 Golden Camp Rd",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "30906",
            "country_code": "US",
            "telephone_number": "706-790-4440",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7559 263rd St",
            "address_purpose": "LOCATION",
            "city": "Glen Oaks",
            "state": "NY",
            "postal_code": "110041150",
            "country_code": "US",
            "telephone_number": "706-414-9175",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "PORSCHA",
        "middle_name": "DICKENS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-08",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "079862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nadia Tamika Campbell
• Nancy Campbell, LMSW
• Naomi Marian Campbell, MB BCH BAO
• Natalie Campbell, MD
• Patricia Leonor Campbell, PT
• Robert Donald Campbell, LMSW
• Sean Ricardo Campbell
• Shanique R Campbell, NP
• Tanya Campbell, O.D
• Whitney Catherine Campbell

• Psychiatry Physician in New York, NY
• Providers in New York, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.