DR. KATELYN CAMPBELL (NPI# 1770063158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770063158 |
| Entity Type | Individual |
| Full Name | DR. KATELYN CAMPBELL |
| Credential | PSY.D. |
| Practice Address |
1 Carriage Ln Ste 102 Charleston SC 29407 |
| Mailing Address |
1 Carriage Ln Ste 102 Charleston SC 29407-6060 |
| Practice Telephone | 8438794927 |
| Mailing Telephone | 8438794927 |
| Enumeration Date | 2018-08-15 |
| Last Update Date | 2019-09-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 1584 | SC | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 871 Lowcountry Blvd Ste 200, Mt Pleasant, SC 294643096 | 8435011099 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134587595 | Katelyn Campbell | Occupational Therapist | 16 Sanger St Unit 3, Medford, MA 02155-6639 | 2016-02-01 |
| 1447858311 | Katelyn Campbell | Occupational Therapist | 1620 S Mission St, Mount Pleasant, MI 48858-4466 | 2020-10-13 |
| 1043849482 | Katelyn Margaret Campbell | Pediatrics | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-04-07 |
| 1760044051 | Katelyn Campbell | Behavior Technician | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5326 | 2019-07-08 |
| 1356825566 | Katelyn Elizabeth Campbell | Social Worker | 13 Park St, Saco, ME 04072-2623 | 2018-09-24 |
| 1750883120 | Katelyn Ann Campbell | Counselor | 2219 Odessa Ct, Lemon Grove, CA 91945-3609 | 2018-03-01 |
| 1154849164 | Katelyn Ann Campbell | Counselor | 241 Wright St, Marquette, MI 49855-1955 | 2017-08-30 |
| 1407256811 | Katelyn Campbell | Dentist | 321 Lacey Rd, Forked River, NJ 08731-2617 | 2014-09-04 |
| Street Address |
1 CARRIAGE LN STE 102 |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437763661 | Charleston Jaw Surgery | Oral & Maxillofacial Surgery | 846 St. Andrews Blvd., Charleston, SC 29407 | 2020-09-04 |
| 1780225128 | New Endeavors Counseling | Social Worker | 1 Carriage Lane Building E Suite 202, Charleston, SC 29407 | 2019-10-07 |
| 1164929956 | Anisha Gulati Md LLC | Psychiatry & Neurology | 925 Wappoo Rd., Suite F, Charleston, SC 29407 | 2018-04-09 |
| 1316459753 | David W Richardson | Dentist | 765 St. Andrews Blvd., Charleston, SC 29407 | 2017-10-25 |
| 1457874174 | Meca Mentality LLC | Chiropractor | 1106 St Andrews Blvd Suite A, Charleston, SC 29407 | 2017-07-25 |
| 1639609373 | Carolina Behavioral Specialists, LLC | Behavioral Analyst | 1529 Sam Rittenberg Blvd, Unit 1-b, Charleston, SC 29407 | 2017-06-15 |
| 1467991901 | Bernice Ladson | Registered Nurse | 75o Magnolia Road, Charleston, SC 29407 | 2017-02-16 |
| 1376991257 | Virginia Leigh Thomason | Counselor | 29 Leinbach Dr, Suite D2, Charleston, SC 29407 | 2016-06-01 |
| 1609221001 | Elinor Lee Smith | Counselor | 571 Savannah Hwy, Charleston, SC 29407 | 2016-05-04 |
| 1306219423 | Kasandra Ruettiger | Chiropractor | 1941 Savage Rd Suite 300d, Charleston, SC 29407 | 2015-11-11 |
| Find all providers in zip 29407 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659993301 | Alice Huang | Psychologist | 3 Sawgrass Rd Apt A7, Charleston, SC 29412-2580 | 2020-05-15 |
| 1912489378 | Christopher T Sege | Psychologist | 67 President St 2nd Fl S, Msc 861, Charleston, SC 29425 | 2018-09-03 |
| 1003345943 | In Harmony Inc | Psychologist | 1027 Quarrier St, Charleston, WV 25301-2302 | 2017-06-05 |
| 1699223610 | Megan Holly Lawhon | Psychologist | 4407 Maccorkle Ave Se Ste 1, Charleston, WV 25304-2541 | 2016-09-19 |
| 1639537798 | Alicia L Smith | Psychologist | 10 Hale St Ste 206, Charleston, WV 25301-2830 | 2016-02-04 |
| 1992180509 | Daniel Dewey | Psychologist | 17a Cannon St, Charleston, SC 29403-5401 | 2015-07-24 |
| 1043634165 | Kindra Westercamp | Psychologist | 7 Gamecock Ave Ste 710, Charleston, SC 29407-3379 | 2014-02-10 |
| 1013354281 | Kathryn Reid | Psychologist | 1016 Telfair Way, Charleston, SC 29412-2390 | 2013-05-29 |
| 1225339153 | Jennifer Mills Price | Psychologist | 1335 Virginia St E, Charleston, WV 25301-3011 | 2010-11-09 |
| 1972818326 | Louann Petts | Psychologist | 1003 Edgewood Dr, Charleston, WV 25302-3005 | 2010-08-10 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 29407 |
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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.