Benjamin Michael Campbell, LLP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6301018072 Issued in MI

Practice address

104 W 4TH St Ste 204
Royal Oak, MI 48067-3803

Phone

(248) 504-2275

NPI assigned

Aug 27, 2019

Last updated

Jun 29, 2022By 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

Locations

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.

• Freedom to Grow PLLC

  • Clinical Psychologist
  • Royal Oak, MI
  • NPI 1467184374
  NPD Authorized official
• Arbor Wellness Center, PLLC

  • Psychologist
  • Ann Arbor, MI
  • NPI 1548750623
  NPD (past)

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

{
    "created_epoch": "1566864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656460800000",
    "number": "1841848587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23767 BATTELLE AVE",
            "city": "HAZEL PARK",
            "state": "MI",
            "postal_code": "480301422",
            "telephone_number": "310-745-9834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 W 4TH ST STE 204",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480673803",
            "telephone_number": "248-504-2275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "BENJAMIN",
        "middle_name": "MICHAEL",
        "credential": "LLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-27",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301018072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Anne Cameron, APRN BC NPC
• Marcy Cameron
• Elvis Cami, MD
• Campbell Pediatrics
• Angelina Campbell, MT
• Stephanie Campbell, M.D.
• Tricia Campbell, PA-C
• Cancer Care Associates PC
• Michael Cantley
• Stacey Brooke Cantor, FNP-BC

• Psychologist in Royal Oak, MI
• Providers in Royal Oak, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.