Individual provider Active NPI

Michele Campione, M.D.

  • Psychiatry Physician
  • New York, NY
National Provider Identifier
1861566457
Registry record updated Jul 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
196760 Issued in NY
Practice address
242 E 72ND St
Suite 1 -a
New York, NY 10021-4574
Phone
(917) 453-4144
Fax
(212) 600-0308
NPI assigned
Nov 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 196760 NY Primary

Addresses

Primary practice location

242 E 72ND St
Suite 1 -a
New York, NY 10021-4574

Mailing address

PO Box 1032
New York, NY 10276-1032
Phone (917) 453-4144

Other identifiers 1

IdentifierTypeStateIssuer
01920167MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20080128000083 NY Practitioner - Psychiatry 2668554866 Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
New York University Medical College - NLG, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

242 E 72ND St
1A
New York, NY 10021-4574
Phone (800) 650-6334

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Metropolitan Behavioral Health Services-Psychiatry, LLC Past Accepting new patients
Greenwich House Inc PastSince Oct 25, 2009 Accepting new patients
LMC Physician Services, PC Psychiatry Past Accepting new patients

Organizations & group practices 3

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": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373760000000",
    "number": "1861566457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1032",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "102761032",
            "telephone_number": "917-453-4144",
            "fax_number": "212-600-0308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 E 72ND ST",
            "address_2": "SUITE 1 -A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214574",
            "telephone_number": "917-453-4144",
            "fax_number": "212-600-0308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPIONE",
        "first_name": "MICHELE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2013-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "196760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01920167",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.