Angela Tara Campbell, MSN, CRNP, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

SPO28411 Issued in PA

Practice address

1010 W 8TH Ave Ste I
King of Prussia, PA 19406-1349

Phone

(856) 346-0005

NPI assigned

Oct 25, 2023

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

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science - Nursing

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.

• CNNH Therapy LLC

  • Behavior Analyst
  • King of Prussia, PA
  • NPI 1750845327
  NPD (past)
• The Center for Neurological and Neurodevelopmental Health, LLC

  • Neurology Physician
  • Voorhees, NJ
  • NPI 1962682989
  NPD (past)

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

{
    "created_epoch": "1698192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1962274688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 W 8TH AVE STE I",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194061349",
            "telephone_number": "856-346-0005",
            "fax_number": "775-920-1548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 W 8TH AVE STE I",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194061349",
            "telephone_number": "856-346-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "ANGELA",
        "middle_name": "TARA",
        "name_prefix": "Ms.",
        "credential": "MSN, CRNP, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-25",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SPO28411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Gloria Caldwell
• Timothy Daniel Caldwell, PH.D., BCBA-D, LBS
• Laysa Callahan
• Caitlin Camacho
• Mercedes Cambridge
• Audrey J Campbell
• Brandon Campbell, BCBA
• Ella F Campbell
• Jenna Campbell
• Monique Campbell

• Psychiatric/Mental Health Nurse Practitioner in King of Prussia, PA
• Providers in King of Prussia, PA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; 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.