DR. JILL CARYN CAMPBELL


Address: 342 Ocho Rios Way, Oak Park, CA 91377-5541
Phone: 8188796516

DR. JILL CARYN CAMPBELL (NPI# 1376159541) 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) 1376159541
Entity Type Individual
Full Name DR. JILL CARYN CAMPBELL
Credential PSY.D.
Practice Address 342 Ocho Rios Way
Oak Park
CA 91377-5541
Mailing Address 5737 Kanan Rd # 174
Agoura Hills
CA 91301-1601
Practice Telephone 8188796516
Mailing Telephone 8188796516
Enumeration Date 2020-09-22
Last Update Date 2020-11-04
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist PSY16098 CA Behavioral Health & Social Service Providers

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Office Location

Street Address 342 OCHO RIOS WAY
City OAK PARK
State CA
Zip Code 91377-5541

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396377321 Rachel Convey Speech-Language Pathologist 362 North Oak Hills Dr, Oak Park, CA 91377 2020-02-07
1992254502 Brenda Pasqua Emergency Medical Technician, Basic 899 Kanan Rd, Oak Park, CA 91377 2016-09-23
1093178303 Paul Hahn Marriage & Family Therapist 6843 Poppyview Drive, Oak Park, CA 91377 2016-04-04
1881848554 Akeomai Physical Therapy, PC Clinic/Center 734 Lindero Canyon Road, Oak Park, CA 91377 2008-11-07
1386865988 Eyal Ron Radiology 325 Southridge Dr, Oak Park, CA 91377 2007-05-01
1811079809 Tracey Burrell Psychologist 346 North Kanan Road, 202, Oak Park, CA 91377 2006-10-19
1033421805 Karen Tenenblatt Pediatrics 358 Kanan Rd, Oak Park, CA 91377 2010-07-09
1992203228 Nancy Raquel Ludwig Marriage & Family Therapist 5867 Briarwood Ln, Oak Park, CA 91377-1063 2018-02-01
1083798805 Tad Alan Erickson Dentist 346 Kanan Rd, Suite 101, Oak Park, CA 91377-1100 2006-10-25
1982851812 Gary Thomas Hardeman Speech-Language Pathologist 346 Kanan Rd, #104, Oak Park, CA 91377-1100 2008-08-21
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Notes: Source: American Psychological Association [1/1/2007: modified definition]

Providers in the same taxonomy and city

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1215419064 Ethos Behavioral Health Psychologist 25900 Greenfield Rd Ste 222, Oak Park, MI 48237-1267 2018-08-29
1154865590 Destiny Peterson Psychologist 25900 Greenfield Rd Ste 100, Oak Park, MI 48237-1297 2016-12-05
1811226954 Tara Marie Andersen Psychologist 8543 Oak Park Blvd, Oak Park, MI 48237-1847 2009-12-21
1396981627 Uhs of Hartgrove, Inc Psychologist 101 Madison St Ste 200, Oak Park, IL 60302-4210 2008-12-16
1609081637 Laurie Anderson Psychologist 206 S Kenilworth Ave, Oak Park, IL 60302-3116 2007-05-12
1255451084 Maurice Solodky Phd P.C. Psychologist 1034 Pleasant St, Oak Park, IL 60302-3002 2007-03-29
1033251384 Debora Ilene Rothbart Psychologist 26031 Stratford Pl, Oak Park, MI 48237-1029 2007-02-13
1871667980 Kimberly Lisa Smith-martinez Psychologist 110 S Euclid Ave, Oak Park, IL 60302-2906 2006-11-20
1730293036 Tamar A Levinson Psychologist 1051 N Humphrey Ave, Oak Park, IL 60302-1419 2006-08-17
1235169335 Neal J Gordon Psychologist 433 Wisconsin Ave, Oak Park, IL 60302-3688 2006-07-04
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Competitor

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City OAK PARK
Zip Code 91377

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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