Theresa Campbell, PMHNP- BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

F408802-01 Issued in NY

Practice address

116 Commack Rd
Islip, NY 11751-2604

Phone

(631) 954-8679

NPI assigned

Sep 2, 2026

Last updated

Sep 2, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1788307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1912816489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 JEFFERSON ST",
            "city": "EAST ISLIP",
            "state": "NY",
            "postal_code": "117301809",
            "telephone_number": "631-954-8679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 COMMACK RD",
            "city": "ISLIP",
            "state": "NY",
            "postal_code": "117512604",
            "telephone_number": "631-954-8679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "THERESA",
        "credential": "PMHNP- BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-02",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F408802-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Brocavich, DDS
• Neil Burton, CASAC
• Avraham Calev, PH.D.
• Fatima Maribel Calle, LMSW
• Elizabeth P Camera
• Rosalie Ann Capobianco, OTR
• Ruth Caputo
• Carin Winter, LCSW, PLLC
• Timothy Michael Carney, D.C.
• Carrie Orencia Chiropractic, P.C. (Benson Chiropractic)

• Psychiatric/Mental Health Nurse Practitioner in Islip, NY
• Providers in Islip, NY by specialty
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; 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.