DR. PATRICIA LEE CAMPBELL (NPI# 1730232851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1730232851 |
Entity Type | Individual |
Full Name | DR. PATRICIA LEE CAMPBELL |
Credential | PH.D. |
Practice Address |
2625 Alcatraz Ave # 414 Berkeley CA 94705-2702 |
Practice Telephone | 5108694449 |
Mailing Telephone | 5108694449 |
Enumeration Date | 2007-01-20 |
Last Update Date | 2010-12-27 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY22163 | CA | Behavioral Health & Social Service Providers |
N | 106H00000X | Marriage & Family Therapist | MFC31665 | CA | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598988354 | Patricia Lorraine Campbell | Social Worker | 2366 Monte Vista St, Pasadena, CA 91107-2518 | 2007-04-10 |
1053434068 | Patricia Ann Sherman Campbell | Occupational Therapist | 301 Mckinly Lab, Newark, DE 19711 | 2007-04-06 |
1124161971 | Patricia Ann Campbell | Dietitian, Registered | 710 N Main St Ste A, Clinton, TN 37716-3143 | 2007-02-14 |
1346396165 | Patricia Jeanne Campbell | Psychiatry & Neurology | 1449 Ivy Ln Nw, Valdese, NC 28690-9512 | 2007-01-26 |
1851941363 | Patricia Jean Campbell | Nurse Practitioner | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2019-09-17 |
1255991253 | Patricia Lurline Campbell | Family Medicine | 2830 Easton Ave, Bethlehem, PA 18017-4204 | 2019-06-20 |
1164900809 | Patricia Michelle Campbell | Dental Assistant | 2440 River Rd Ste 140, Norco, CA 92860-2402 | 2018-08-03 |
1386191831 | Patricia Pattalavadee Campbell | Pediatrics | 808 W 58th St, Los Angeles, CA 90037-3632 | 2016-09-01 |
1316352479 | Patricia Campbell | Social Worker | 10819 Rockaway Blvd, South Ozone Park, NY 11420-1034 | 2014-06-27 |
1720405426 | Patricia Leonor Campbell | Physical Therapist | 141 W 73rd St, 1n, New York, NY 10023-2916 | 2014-03-20 |
Street Address |
2625 ALCATRAZ AVE # 414 |
City | BERKELEY |
State | CA |
Zip Code | 94705-2702 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447882956 | Diane Lomas Wyatt | Marriage & Family Therapist | 2340 Ward St. Ste 104, Berkeley, CA 94705 | 2020-02-12 |
1700371275 | Icecreamwala Dermatology Inc | Dermatology | 2435 Webster St Ste 101, Berkeley, CA 94705 | 2018-06-27 |
1396253803 | David R Shaddock | Marriage & Family Therapist | 3030 Ashby Avenue, # 105, Berkeley, CA 94705 | 2018-01-18 |
1821504432 | Allegra Tringali | Physical Therapist | 2450 Ashby Ave Fl 6, Berkeley, CA 94705 | 2017-12-19 |
1659898740 | Hunter Brown | Student in an Organized Health Care Education/Training Program | Wright Institute Clinical Services 1918 University Ave, Suite 2b, Berkeley, CA 94705 | 2017-08-29 |
1588014534 | Heather Valdez | Social Worker | 2185 Ashby Ave, Berkeley, CA 94705 | 2016-06-20 |
1215350145 | S.e.e.d.s. (social and Emotional Education Development and Support) | Community/Behavioral Health | 3120 Telegraph Avenue Ste 9, Berkeley, CA 94705 | 2014-01-29 |
1144580960 | Benjamin Tucker | Counselor | 2625 Alcatraz Ave Ste 609, Berkeley, CA 94705 | 2012-05-26 |
1881966141 | Jennifer Cowherd | Behavioral Analyst | 2201 Woolsey St, Berkeley, CA 94705 | 2012-02-02 |
1518255892 | Erika D Huguenard | Counselor | 2811a College Avenue, Berkeley, CA 94705 | 2011-07-20 |
Find all providers in zip 94705 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184241754 | Bede John Healey | Psychologist | 1371 La Loma Ave, Berkeley, CA 94708-2031 | 2020-06-30 |
1124683388 | Jason Craig Zeltser | Psychologist | 1708 Shattuck Ave Ste 9, Berkeley, CA 94709-1700 | 2019-05-03 |
1871157016 | Mary L Roche | Psychologist | 2955 Shattuck Ave Ste 3, Berkeley, CA 94705-1808 | 2019-04-23 |
1508320128 | Lauren Tolk | Psychologist | 1172 San Pablo Ave Ste 100, Berkeley, CA 94706-2258 | 2019-01-28 |
1336632876 | Jonathan Knight Howard | Psychologist | 2407 Dana St, Berkeley, CA 94704-2207 | 2018-06-09 |
1457866550 | Noah Bach Bar-tura | Psychologist | 2140 Shattuck Ave Ste 508, Berkeley, CA 94704-1222 | 2017-12-11 |
1750825154 | Stacy Taniguchi | Psychologist | 2000 Hearst Ave Ste 207, Berkeley, CA 94709 | 2016-12-05 |
1881048775 | Phillip Montes | Psychologist | 2014 Channing Way Apt 3, Berkeley, CA 94704-1935 | 2016-04-18 |
1790199446 | Irene Chui | Psychologist | 1197 Sutter St, Berkeley, CA 94707-2637 | 2014-06-19 |
1629322763 | Roxanne Manning | Psychologist | 1325 Sacramento St, Apt 3, Berkeley, CA 94702-1235 | 2012-10-26 |
Find all providers in BERKELEY |
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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.