MICHAEL CAMPBELL (NPI# 1710426911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710426911 |
| Entity Type | Individual |
| Full Name | MICHAEL CAMPBELL |
| Practice Address |
347 Quincy St Brockton MA 02302-3419 |
| Practice Telephone | 5086855528 |
| Enumeration Date | 2017-02-21 |
| Last Update Date | 2017-02-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013515014 | Michael Richard Campbell | Optometrist | 10 Hospital Center Cmns Ste 100, Hilton Head Island, SC 29926-2838 | 2020-10-12 |
| 1154891877 | Michael Andrew Wade Campbell | Adult Companion | 4550 Amysaye Walk Nw, Acworth, GA 30101-8342 | 2018-11-26 |
| 1497288955 | Michael Campbell | Lodging | 175 Munn Ave, Irvington, NJ 07111-2745 | 2017-04-11 |
| 1134350903 | Michael Lory Campbell | Internal Medicine | 753 Saint Francis St, Unit 2003, Mobile, AL 36602-1500 | 2009-07-28 |
| 1467692525 | Michael John Campbell | Chiropractor | 13600 Ventura Boulevard, Sherman Oaks, CA 91423 | 2009-03-03 |
| 1629229141 | Michael Andrew Campbell | Orthopaedic Surgery | 231 Granite Run Drive, Lancaster, PA 17601-6823 | 2008-10-02 |
| 1689863235 | Michael Christoph Campbell | Emergency Medical Technician, Paramedic | 3600 Meyran Ave, 10028 Forbes Tower, Pittsburgh, PA 15260 | 2007-10-19 |
| 1255531067 | Michael Harry Campbell | Psychologist | School of Clinical Medicine and Research, U. of The West Indies, Queen Elizabeth Hospital, Bridgetown, ST. MICHAEL BB | 2007-07-19 |
| 1578760377 | Michael Lane Campbell | Family Medicine | 2200 Pump Rd Ste 100, Richmond, VA 23233-3539 | 2007-06-27 |
| 1336209170 | Michael F. Campbell | Speech-Language Pathologist | 5900 Summit Ave Ste 103, Browns Summit, NC 27214-9859 | 2006-12-11 |
| Street Address |
347 QUINCY ST |
| City | BROCKTON |
| State | MA |
| Zip Code | 02302-3419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427513373 | Miriam Monteiro | Social Worker | 688 Plain Street, Brockton, MA 02302 | 2019-02-05 |
| 1619432523 | Shirley Elefson | Social Worker | 330 Crescent Street, Brockton, MA 02302 | 2019-02-05 |
| 1578055505 | Steigmward Desir | Specialist | 472 E Ashland St, Brockton, MA 02302 | 2018-06-05 |
| 1114417797 | Katherine Douglas Van Schaik | Student in an Organized Health Care Education/Training Program | Brockton Signature Healthcare-bidmc, 680 Centre Street, Brockton, MA 02302 | 2018-05-18 |
| 1700376365 | Emmanuel Carrodeguas | Student in an Organized Health Care Education/Training Program | Brockton Hospital, 680 Centre Street, Brockton, MA 02302 | 2018-05-18 |
| 1700303856 | My Care, LLC | Home Health | 307 Field Street, Brockton, MA 02302 | 2017-08-29 |
| 1982124988 | Shavon Franks | Psychologist | 30 Downey Rd, Brockton, MA 02302 | 2017-06-21 |
| 1831629286 | Kings & Queens Empowered | Religious Nonmedical Health Care Institution | 312 Carl Ave, Brockton, MA 02302 | 2017-06-18 |
| 1487193389 | Roseline Eliezer | Licensed Practical Nurse | 17 Simeon Avenue, Brockton, MA 02302 | 2017-02-13 |
| 1184008989 | Danielle Parker | Student in an Organized Health Care Education/Training Program | 23 Grinnell Rd, Brockton, MA 02302 | 2015-07-13 |
| Find all providers in zip 02302 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720695919 | Albert Bruce Myers Iv | Counselor | 139 Ash St, Brockton, MA 02301-3663 | 2020-09-30 |
| 1437762085 | Laura Elizabeth Regal | Counselor | 231 Main St # 3, Brockton, MA 02301-4342 | 2020-08-24 |
| 1104313949 | Michelle K. Hennessy | Counselor | 103 Commercial St Ste 2, Brockton, MA 02302-3133 | 2018-04-17 |
| 1447767215 | Kafayat Bello | Counselor | 5 Raintree Cir Apt F, Brockton, MA 02302-1912 | 2018-01-03 |
| 1518495928 | Shacorra Williams | Counselor | 12 Montgomery St, Brockton, MA 02301-3714 | 2017-05-30 |
| 1386181857 | Wecjard Emmanuel | Counselor | 331 N Quincy St, Brockton, MA 02302-1940 | 2017-01-23 |
| 1427502814 | Lauren Mackenzie Suarez | Counselor | 63 Whitmore St, Brockton, MA 02301-5660 | 2016-08-15 |
| 1972957439 | Kassandra Morales | Counselor | 4 Sophia Ave, Brockton, MA 02301-2135 | 2016-04-20 |
| 1447658208 | Altine Simon | Counselor | 74 Pine Grove Dr, Brockton, MA 02301-1115 | 2014-12-10 |
| 1487057782 | Mathew Hogan | Counselor | 9 Longworth Ave Unit 121, Brockton, MA 02301-7084 | 2014-09-30 |
| Find all providers in BROCKTON | ||||
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| 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.