DR. BEVIN JANE CAMPBELL


Address: 26 Court Street, Brooklyn, NY 11201
Phone: 3476992920

DR. BEVIN JANE CAMPBELL (NPI# 1043564925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043564925
Entity Type Individual
Full Name DR. BEVIN JANE CAMPBELL
Credential PSY.D.
Practice Address 26 Court Street
Brooklyn
NY 11201
Mailing Address 26 Court Street
Brooklyn
NY 11242
Practice Telephone 3476992920
Mailing Telephone 3476992920
Enumeration Date 2012-10-31
Last Update Date 2013-11-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
019731 NY Behavioral Health & Social Service Providers

Office Location

Street Address 26 COURT STREET
City BROOKLYN
State NY
Zip Code 11201

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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

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Competitor

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City BROOKLYN
Zip Code 11201

Improve Information

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Dataset Information

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.

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