CAMPBELL COMPREHENSIVE PSYCHOLOGICAL SERVICES, LLC (NPI# 1023641263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023641263 |
| Entity Type | Organization |
| Organization Name | CAMPBELL COMPREHENSIVE PSYCHOLOGICAL SERVICES, LLC |
| Other Organization Name | PCIT & TCIT TRAINING |
| Practice Address |
1985 W 33rd St Edmond OK 73013-3875 |
| Mailing Address |
2716 Green Canyon Dr Edmond OK 73013-5732 |
| Practice Telephone | 4054823116 |
| Practice Fax Number | 4052856814 |
| Mailing Telephone | 4054823116 |
| Mailing Fax Number | 4052423892 |
| Enumeration Date | 2020-02-17 |
| Last Update Date | 2020-04-15 |
| Authorized Official Name | CHRISTOPHER CAMPBELL (PRESIDENT) |
| Authorized Official Telephone | 4054823116 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CAQH PROVIDER ID | 14618350 | 01 |
| Other Name | Type Code |
|---|---|
| PCIT & TCIT Training | Doing Business As Name - Organization |
| Street Address |
1985 W 33RD ST |
| City | EDMOND |
| State | OK |
| Zip Code | 73013-3875 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689702540 | Gricelda Fragoso | Psychologist | 1985 W 33rd St, Suite 110, Edmond, OK 73013-3875 | 2007-03-01 |
| 1851903686 | Ferguson Therapy Pllc | Marriage & Family Therapist | 1985 W 33rd St, Edmond, OK 73013-3875 | 2020-08-22 |
| 1487216917 | Charles T Dutton Jr. | Marriage & Family Therapist | 1985 W 33rd St, Edmond, OK 73013-3875 | 2019-07-04 |
| 1457915175 | Christopher Campbell | Psychologist | 1985 W 33rd St, Edmond, OK 73013-3875 | 2019-04-29 |
| 1013473560 | Modern Mindcare Pllc | Psychiatry & Neurology | 1985 W 33rd St, Edmond, OK 73013-3875 | 2019-02-20 |
| 1790267763 | Beatriz Castilho Stanley | Marriage & Family Therapist | 1985 W 33rd St, Edmond, OK 73013-3875 | 2018-09-05 |
| 1639677651 | Daniel Steven Keimig | Counselor | 1985 W 33rd St, Edmond, OK 73013-3875 | 2018-01-24 |
| 1568973584 | Stephen Brand | Counselor | 1985 W 33rd St, Edmond, OK 73013-3875 | 2017-10-17 |
| 1346759172 | Jessica Ann Stoops | Counselor | 1985 W 33rd St, Edmond, OK 73013 | 2017-09-25 |
| 1710425327 | Jaclyn I Rowland, Pllc | Marriage & Family Therapist | 1985 W 33rd St, Edmond, OK 73013-3875 | 2017-02-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407461866 | Alison Church-pugh | Case Manager/Care Coordinator | 1441 Kelley Pointe Pkwy, Edmond, OK 73013 | 2020-09-12 |
| 1699395343 | Dental Specialists of Edmond | Dentist | 16430 Muirfield Pl, Edmond, OK 73013 | 2020-04-23 |
| 1104477215 | Kammerer Richey LLC | Nurse Practitioner | 902 Nw 139th Street Parway, Edmond, OK 73013 | 2019-09-20 |
| 1811459191 | Peak Movement Centre, Pllc | Clinic/Center | 13816 Santa Fe Crossing Dr, Edmond, OK 73013 | 2019-04-04 |
| 1851858492 | Luma Hilal | Pharmacist | 2228 Nw 15th Terrace, Edmond, OK 73013 | 2019-03-01 |
| 1578031571 | Oklahoma Wellness Group LLC | Internal Medicine | 14101 North Esatern Avenue Suite B, Edmond, OK 73013 | 2018-11-07 |
| 1477034395 | Specialty Care Pediatrics, Inc. | Home Health | 2256 Nw 164th Street, Edmond, OK 73013 | 2018-08-28 |
| 1972083921 | Pooja Bhakta | Physician Assistant | Stanbro Healthcare Group LLC, 2000 E. 15th St., Suite 400-a, Edmond, OK 73013 | 2018-08-20 |
| 1417460577 | Oklahoma Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 15103 N Macarthur Blvd, Oklahoma City, OK 73013 | 2017-11-13 |
| 1356879753 | Shawn Smith Optimal Pt and Performance, Pllc | Physical Therapist | 336 Ne 145th Pl, Edmond, OK 73013 | 2017-05-30 |
| Find all providers in zip 73013 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508499401 | Julia Jones, Lpc, Pllc | Clinic/Center | 2000 E 15th St Ste 400, Edmond, OK 73013-6697 | 2020-02-19 |
| 1427551860 | Bold Hearts and Sound Minds LLC | Clinic/Center | 1601 S State St Ste 375, Edmond, OK 73013-3626 | 2018-03-12 |
| 1386169969 | Big Love Counseling and Wellness | Clinic/Center | 1210 Roosevelt St Ste 220, Edmond, OK 73034-5176 | 2017-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285273920 | Psychiatric Wellness Aprn-cnp Pllc | Clinic/Center | 600 W Boeing Dr Ste D, Midwest City, OK 73110-3035 | 2019-12-28 |
| 1750942074 | Current Intervention Family Therapy Services | Clinic/Center | 2223 N Main St, Miami, OK 74354-1620 | 2019-06-26 |
| 1609431790 | New View Therapy | Clinic/Center | 3113 24th Ave Se, Norman, OK 73071-1742 | 2019-05-05 |
| 1932665841 | Flow Counseling Services | Clinic/Center | 6130 E 32nd St Ste 104, Tulsa, OK 74135-5454 | 2019-02-15 |
| 1427557891 | G Parks Phd Pllc | Clinic/Center | 6608 N Western Ave # 453, Oklahoma City, OK 73116-7326 | 2018-02-12 |
| 1578061578 | Life Mind, Pllc | Clinic/Center | 2624 E 22nd Pl, Tulsa, OK 74114-3131 | 2018-01-25 |
| 1144739657 | Healing Hearts Counseling & Consulting, L.L.C. | Clinic/Center | 1212 East Kirk, Hugo, OK 74743 | 2017-09-27 |
| 1851800825 | Seyva LLC | Clinic/Center | 8522 S 70th E Ave, Tulsa, OK 74133 | 2017-09-21 |
| 1891871489 | Positive Changes LLC | Clinic/Center | 744 Se 25th St, Oklahoma City, OK 73129-4843 | 2006-10-27 |
| 1194326637 | Kayla Wright Counseling, P.l.l.c. | Clinic/Center | 1901 N Moore Ave Ste 15, Moore, OK 73160-3612 | 2020-11-02 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CAMPBELL COMPREHENSIVE PSYCHOLOGICAL SERVICES, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.